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Maine rates for HCPCS 75563

Cardiac Mri W/W/O Contrast W/Stress

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.50 / $494.18 / $754.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.85 / $620.33 / $882.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$590.66 / $830.67 / $1,249.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.38 / $633.42 / $1,142.67
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.00 / $600.00 / $1,016.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.36 / $706.80 / $1,256.08