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West Virginia rates for HCPCS 75563

Cardiac Mri W/W/O Contrast W/Stress

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$142.04 / $156.24 / $156.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.00 / $427.88 / $558.34
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.44 / $157.44 / $157.44
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
$369.53 / $873.97 / $3,203.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.92 / $869.48 / $1,662.67