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West Virginia 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
$11.97 / $13.16 / $13.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.59 / $400.00 / $475.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.97 / $27.54 / $140.00
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.55 / $47.27 / $90.86
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
$39.43 / $93.73 / $315.74
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.27 / $17.09 / $54.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.31 / $92.98 / $170.07
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.97 / $17.64 / $87.90