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New Hampshire 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
$425.00 / $425.00 / $510.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.50 / $425.00 / $425.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.01 / $311.01 / $311.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$725.00 / $1,454.79 / $2,309.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$625.00 / $625.00 / $625.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.25 / $869.40 / $1,162.27