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Virginia 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

Facilitymedian $245 · 10th–90th $117–$8910%10%20%10th90th$245Professionalmedian $550 · 10th–90th $380–$1,0960%10%10th90th$550$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$117.49 / $245.47 / $891.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $524.81 / $1,071.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $575.44 / $912.01
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $602.56 / $1,548.82
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$229.09 / $229.09 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $776.25 / $1,258.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $512.86 / $660.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$128.82 / $158.49 / $199.53
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,071.52 / $1,380.38 / $1,380.38
Medcost
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$204.17 / $257.04 / $302.00
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $478.63 / $741.31
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $602.56 / $1,202.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $660.69 / $1,318.26