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Michigan rates for HCPCS C9763

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,560.41 / $1,560.41 / $1,560.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$574.29 / $816.75 / $1,412.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.00 / $700.00 / $772.33
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,128.00 / $1,560.41 / $2,200.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$482.89 / $482.89 / $482.89