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California rates for HCPCS C9763

Cardiac Magnetic Resonance Imaging For Morphology And Function Quantification Of Segmental Dysfunction; With Stress Imaging

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,574.00 / $2,647.80 / $4,168.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,560.41 / $1,560.41 / $1,560.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.00 / $486.00 / $876.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.00 / $317.00 / $330.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.60 / $413.52 / $1,612.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$632.77 / $1,393.34 / $3,605.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.00 / $450.00 / $1,250.00
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.56 / $429.56 / $429.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.93 / $638.07 / $801.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.00 / $100.00 / $1,655.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $60.00 / $85.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$632.77 / $1,560.41 / $3,544.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.00 / $2,250,000.00 / $2,400,000.00