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Rhode Island 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
$758.58 / $758.58 / $758.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $602.56 / $1,230.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $616.60 / $1,202.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $891.25 / $1,258.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $724.44 / $1,000.00