go back

Missouri rates for HCPCS 75563

Cardiac Mri W/W/O Contrast W/Stress

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$190.50 / $194.06 / $319.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.36 / $636.17 / $1,459.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.98 / $587.35 / $1,228.03
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
$388.34 / $725.00 / $1,340.12
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$1,014.88 / $1,307.92 / $1,307.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.56 / $826.85 / $4,924.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.73 / $707.35 / $1,333.41