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Connecticut rates for HCPCS C8902

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.00 / $1,860.00 / $2,441.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.50 / $600.00 / $600.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$445.07 / $1,345.00 / $1,870.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.25 / $311.01 / $386.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$578.04 / $803.90 / $1,156.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,338.15 / $1,338.15 / $1,338.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00