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Nebraska 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
$134.13 / $724.99 / $1,222.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.11 / $415.11 / $2,886.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.65 / $808.77 / $859.27
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$779.70 / $779.70 / $779.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.57 / $976.69 / $1,251.79
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
$699.24 / $928.12 / $4,924.22
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$469.25 / $482.91 / $779.70
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$819.45 / $1,018.34 / $1,364.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$559.39 / $909.01 / $1,165.40