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California 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
$71.81 / $140.00 / $140.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.53 / $425.00 / $546.25
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.49 / $140.00 / $395.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.64 / $114.14 / $207.90
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.19 / $15.41 / $30.94
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.15 / $71.84 / $171.20
Blue Shield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.96 / $15.09 / $38.99
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 / $80.23 / $163.66
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.10 / $14.46 / $32.90
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.76 / $59.43 / $80.23
Contra Costa Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.61 / $13.07 / $17.64
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.79 / $61.59 / $350.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.76 / $16.34 / $34.90
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$70.00 / $80.00 / $80.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.51 / $371.18 / $379.80
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.64 / $74.64 / $94.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $36.83
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$13.50 / $13.50 / $13.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.82 / $90.28 / $150.01
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.46 / $14.08 / $32.72
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.10 / $176.10 / $176.10
Sutter Health Plus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.26 / $40.26 / $40.26
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.07 / $64.06 / $77.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.40 / $69.97 / $154.33
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.94 / $13.43 / $32.92