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Hawaii rates for HCPCS 75565

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

Facilitymedian $13 · 10th–90th $12–$160%10%20%10th90th$13Professionalmedian $76 · 10th–90th $14–$4270%5%10th90th$76$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

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
$11.75 / $13.18 / $15.85
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $295.12 / $707.95
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.02 / $30.90 / $125.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $74.13 / $100.00
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.77 / $14.79 / $22.39
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $138.04 / $154.88
HMSA
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.14 / $15.49 / $16.22
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $60.26 / $70.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.02 / $13.80 / $16.22
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $104.71 / $208.93
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.49 / $19.50 / $95.50
University Health Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $87.10 / $194.98
University Health Alliance
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.48 / $17.38 / $29.51