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North Carolina 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
$140.34 / $153.69 / $233.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.00 / $443.10 / $1,167.47
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.63 / $650.63 / $829.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.28 / $379.28 / $379.28
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
$544.88 / $1,031.83 / $1,857.54
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$228.02 / $257.91 / $386.95
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.00 / $447.00 / $633.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.78 / $743.81 / $1,230.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.65 / $837.37 / $1,382.20
Wellcare
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$1,014.88 / $1,279.35 / $1,279.35
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,006.57 / $5,006.57 / $5,006.57