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New Hampshire 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 / $510.00 / $6,756.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.50 / $425.00 / $425.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.01 / $311.01 / $311.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$725.00 / $2,149.39 / $4,537.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,338.15 / $1,338.15 / $1,338.15
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$787.04 / $1,455.08 / $1,930.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,856.66 / $1,856.66 / $1,856.66