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Montana rates for HCPCS 75563

Cardiac Mri W/W/O Contrast W/Stress

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.39 / $534.04 / $2,886.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.16 / $217.16 / $687.22
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$217.16 / $217.16 / $268.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657.94 / $873.97 / $1,179.17
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$217.16 / $217.16 / $268.45
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.97 / $732.23 / $1,132.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.46 / $642.20 / $887.31