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Massachusetts 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
$425.00 / $425.00 / $2,072.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.75 / $425.00 / $600.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $941.10 / $2,620.94
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$791.11 / $830.67 / $988.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$539.83 / $3,108.13 / $4,313.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,338.15 / $1,338.15 / $1,338.15
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$887.52 / $1,184.65 / $1,474.27
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00