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Pennsylvania 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
$334.68 / $857.44 / $2,987.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.75 / $400.00 / $425.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$440.45 / $975.64 / $1,808.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,338.15 / $1,338.15 / $1,338.15
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$677.58 / $1,204.42 / $3,831.61
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$361.13 / $1,421.00 / $3,060.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.75 / $425.00 / $1,037.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$422.37 / $952.87 / $1,808.43
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,338.15 / $1,338.15 / $1,338.15