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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
$603.76 / $1,514.00 / $2,076.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,560.41 / $1,560.41 / $1,560.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.58 / $1,239.98 / $1,319.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.00 / $575.00 / $651.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,560.41 / $3,535.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$481.58 / $683.32 / $1,110.33