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Maine 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
Professional
Modifier
Low / Median / High Price
$50.12 / $371.54 / $602.56
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.13 / $104.71 / $407.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $66.07 / $165.96
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.22 / $16.60 / $38.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $91.20 / $177.83
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.75 / $15.85 / $33.11
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $70.79 / $138.04
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.80 / $17.38 / $32.36
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $162.18 / $870.96
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.13 / $37.15 / $218.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $74.13 / $138.04
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.30 / $17.38 / $32.36