go back

Wisconsin rates for HCPCS 75565

Cardiac Mri For Velocity Flow Mapping

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$24.71 / $27.54 / $31.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.39 / $110.21 / $494.18
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.04 / $27.54 / $142.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.92 / $113.78 / $369.46
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.48 / $27.28 / $90.21
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.12 / $39.15 / $61.58
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$30.64 / $35.79 / $47.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.52 / $164.69 / $187.15
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.73 / $41.59 / $47.26
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
$64.09 / $151.06 / $353.51
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.66 / $33.11 / $74.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.34 / $41.16 / $85.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.40 / $132.44 / $199.14
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$28.25 / $80.00 / $80.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.36 / $292.70 / $353.51
Quartz
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.51 / $61.10 / $74.64
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.75 / $293.45 / $353.52
Security Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$59.42 / $66.90 / $88.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.92 / $134.51 / $248.81
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.94 / $65.88 / $94.03