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Ohio 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
$794.33 / $1,230.27 / $3,548.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,548.82 / $1,778.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $549.54 / $549.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $537.03 / $602.56
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $549.54 / $954.99
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $537.03 / $602.56
SummaCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $676.08 / $676.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $416.87 / $1,318.26