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South Carolina 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
$1,124.90 / $1,249.84 / $1,678.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.75 / $318.75 / $425.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,048.77 / $1,931.24 / $3,193.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$315.13 / $1,797.13 / $1,807.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,338.15 / $1,338.15 / $1,338.15
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.75 / $375.00 / $541.88
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.42 / $300.42 / $300.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00