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Maine rates for HCPCS C8901

Magnetic Resonance Angiography Without Contrast Abdomen (Special Coverage Instructions Apply)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.79 / $1,100.00 / $1,100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.75 / $425.00 / $600.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.01 / $311.01 / $544.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.00 / $750.00 / $750.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,010.25 / $2,010.25 / $2,010.25
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.00 / $1,100.00 / $1,100.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.75 / $600.00 / $1,016.00