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Utah rates for HCPCS 75563

Cardiac Mri W/W/O Contrast W/Stress

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$128.00 / $128.00 / $128.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.39 / $494.18 / $1,378.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.59 / $751.36 / $1,810.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.58 / $264.33 / $428.91
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$1,301.63 / $1,301.63 / $1,301.63
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$647.91 / $758.99 / $1,013.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.46 / $571.40 / $1,007.99