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North Dakota 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
$141.25 / $147.91 / $245.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $478.63 / $1,071.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $977.24 / $1,096.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $812.83 / $1,288.25
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$1,318.26 / $1,318.26 / $1,318.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $912.01 / $4,897.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $870.96 / $1,202.26