go back

Washington rates for HCPCS C9763

Cardiac Magnetic Resonance Imaging For Morphology And Function Quantification Of Segmental Dysfunction; With Stress Imaging

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,560.41 / $1,560.41 / $1,560.41
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,175.06 / $1,563.38 / $3,024.53
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.02 / $454.85 / $562.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.14 / $1,416.73 / $2,576.51
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$493.48 / $1,368.97 / $2,426.67
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488.04 / $1,335.00 / $79,999.20
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$544.29 / $544.29 / $544.29
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,140.77 / $1,563.38 / $2,990.57
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.02 / $250.02 / $562.54