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Arizona rates for HCPCS 75565

Cardiac magnetic resonance imaging for velocity flow mapping (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$16.51 / $39.93 / $49.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.83 / $250.00 / $475.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.79 / $69.97 / $264.06
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.68 / $15.68 / $23.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.45 / $51.94 / $64.93
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.23 / $11.70 / $14.62
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$13.50 / $13.50 / $13.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.65 / $73.50 / $119.07
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.53 / $14.74 / $25.04
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$80.00 / $80.00 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.40 / $77.56 / $353.51
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.13 / $11.61 / $74.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.40 / $64.09 / $113.72
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.13 / $11.27 / $25.20