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Montana 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
$78.48 / $78.48 / $78.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.75 / $318.75 / $638.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,999.99 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.78 / $782.79 / $2,176.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$899.00 / $1,338.15 / $1,338.15
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.75 / $649.15 / $1,128.36
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$956.45 / $2,250,000.00 / $2,400,000.00