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Missouri 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
$15.06 / $16.37 / $26.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.83 / $81.62 / $475.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.49 / $21.12 / $145.65
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.24 / $12.24 / $12.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.24 / $65.23 / $166.78
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.17 / $15.03 / $25.83
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
$41.24 / $78.09 / $142.31
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.27 / $16.86 / $28.98
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$27.85 / $80.00 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.67 / $84.52 / $353.51
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.24 / $15.68 / $74.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.07 / $66.48 / $135.29
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.89 / $15.12 / $41.58