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Kentucky rates for HCPCS 75563

Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$134.78 / $196.20 / $269.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.29 / $438.27 / $786.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.74 / $524.40 / $834.84
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.60 / $210.72 / $549.63
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$159.58 / $159.58 / $159.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.03 / $859.88 / $1,491.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $486.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.84 / $682.49 / $952.57