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Pennsylvania 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
$1,463.00 / $1,477.00 / $2,105.00
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
$648.47 / $1,287.81 / $1,851.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.00 / $525.00 / $525.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,421.00 / $1,477.00 / $2,490.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,421.00 / $1,560.41 / $1,607.22
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$648.47 / $1,250.30 / $2,594.14
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.00 / $525.00 / $525.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,233.70 / $1,233.70 / $1,233.70