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Missouri 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
$602.56 / $1,819.70 / $2,187.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $1,548.82 / $2,187.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $1,122.02 / $1,318.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $645.65 / $645.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,548.82 / $1,737.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $512.86 / $1,071.52