go back

Indiana 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
$900.00 / $1,450.00 / $2,373.00
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
$706.13 / $706.13 / $706.13
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121,498.80 / $121,498.80 / $157,498.40
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121,498.79 / $139,723.60 / $182,248.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$391.05 / $391.05 / $548.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.00 / $625.00 / $800.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,182.67 / $1,182.67 / $1,182.67