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Idaho 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
$30.46 / $44.72 / $44.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.46 / $147.40 / $570.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.79 / $104.00 / $395.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.57 / $45.35 / $98.49
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.88 / $11.04 / $22.24
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.89 / $334.89 / $371.76
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$96.57 / $96.57 / $121.57
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.58 / $83.58 / $111.09
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.68 / $19.80 / $22.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.22 / $32.34 / $70.95
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.52 / $95.90 / $111.09
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.38 / $23.98 / $28.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.40 / $56.24 / $118.33
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.13 / $15.16 / $25.12