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North Dakota rates for HCPCS 75563

Cardiac Mri W/W/O Contrast W/Stress

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$148.44 / $148.44 / $238.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.11 / $475.00 / $711.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$839.66 / $1,036.19 / $1,086.67
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
$612.73 / $908.73 / $1,364.42
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$1,307.92 / $1,307.92 / $1,307.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.02 / $987.50 / $4,924.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$522.08 / $919.67 / $1,265.34