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Ohio 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
$145.34 / $246.67 / $481.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.44 / $447.39 / $1,147.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.52 / $526.02 / $915.50
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.87 / $279.20 / $424.08
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$144.16 / $159.58 / $159.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.48 / $684.47 / $1,335.13
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$144.16 / $144.16 / $159.58
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.63 / $678.87 / $1,349.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.29 / $318.94 / $553.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.00 / $601.03 / $1,074.81