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New Hampshire rates for HCPCS 75563

Cardiac Mri W/W/O Contrast W/Stress

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$209.73 / $595.28 / $595.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.50 / $425.00 / $1,459.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.06 / $882.53 / $1,248.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.26 / $995.54 / $1,821.66
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.87 / $840.38 / $1,557.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.78 / $756.41 / $1,394.66
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.54 / $664.26 / $976.46