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Oklahoma 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
$136.56 / $159.80 / $777.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.00 / $465.01 / $755.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.52 / $452.20 / $620.94
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$147.09 / $147.09 / $219.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.11 / $589.65 / $936.30
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$1,014.88 / $1,307.92 / $1,307.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.91 / $606.29 / $4,924.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$419.36 / $509.30 / $999.89