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South Dakota 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
$318.75 / $318.75 / $318.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.75 / $397.28 / $397.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,520.00 / $1,520.00 / $1,520.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,338.15 / $1,338.15 / $1,338.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$455.81 / $671.40 / $802.75
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$289.11 / $349.11 / $1,001.61