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Ohio 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
$12.30 / $17.78 / $33.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $107.15 / $478.63
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.02 / $23.99 / $125.89
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.75 / $13.80 / $21.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $97.72 / $165.96
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.59 / $15.49 / $26.30
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $37.15 / $64.57
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$2.88 / $13.49 / $19.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $72.44 / $144.54
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.00 / $15.85 / $27.54
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$2.88 / $13.49 / $19.05
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $66.07 / $147.91
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.23 / $15.85 / $30.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.90 / $32.36 / $39.81
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $54.95 / $100.00
SummaCare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.75 / $14.45 / $25.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $61.66 / $114.82
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.00 / $13.18 / $23.99