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Pennsylvania rates for HCPCS 75563

Cardiac Mri W/W/O Contrast W/Stress

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$126.00 / $199.03 / $374.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.00 / $438.27 / $936.68
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.39 / $428.99 / $904.00
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
$380.34 / $758.41 / $1,353.07
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.00 / $658.08 / $1,653.06
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$126.00 / $206.83 / $403.20
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.00 / $487.49 / $1,362.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.44 / $760.12 / $1,080.09
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$159.58 / $159.58 / $159.58
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.11 / $694.49 / $1,321.49
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$136.97 / $136.97 / $141.84
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.54 / $424.97 / $784.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.32 / $624.46 / $1,019.00