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North Carolina 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
$498.00 / $1,411.00 / $2,920.00
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
$928.11 / $928.11 / $928.11
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,560.41 / $1,560.41 / $1,560.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$703.11 / $703.11 / $1,182.67
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00