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North Dakota 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
$12.45 / $12.45 / $20.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.45 / $53.23 / $475.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.04 / $18.19 / $140.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.42 / $110.35 / $116.05
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.01 / $28.40 / $29.69
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
$65.02 / $96.78 / $149.34
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.36 / $21.57 / $30.20
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$80.00 / $80.00 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.01 / $105.37 / $353.51
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.42 / $23.56 / $74.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.92 / $99.83 / $154.26
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.64 / $22.94 / $32.11