go back

Pennsylvania 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
$414.38 / $862.75 / $2,097.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.75 / $400.00 / $425.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$285.88 / $613.27 / $1,152.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.56 / $259.56 / $1,164.08
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.00 / $930.75 / $2,105.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.75 / $425.00 / $1,037.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$285.88 / $595.40 / $1,152.28
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.56 / $259.56 / $1,164.08