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Washington 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
$318.75 / $318.75 / $318.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.00 / $318.75 / $603.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.41 / $721.17 / $1,521.38
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.10 / $267.89 / $671.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.58 / $629.27 / $1,060.50
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.00 / $635.38 / $1,251.69
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.44 / $593.00 / $79,999.20
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.19 / $259.19 / $259.19
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.41 / $721.17 / $1,328.33
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.06 / $119.06 / $267.89