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Maine rates for HCPCS 75565

Cardiac Mri For Velocity Flow Mapping

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.69 / $425.00 / $600.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.32 / $140.00 / $167.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.02 / $66.70 / $93.99
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.32 / $15.75 / $24.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.72 / $88.66 / $179.50
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.52 / $18.54 / $26.47
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.86 / $87.23 / $129.30
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.43 / $17.37 / $31.32
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.33 / $425.00 / $600.00
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.15 / $111.15 / $167.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.38 / $74.31 / $129.19
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.52 / $17.68 / $31.18