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Arizona rates for HCPCS C8903

Magnetic resonance imaging with contrast, breast; unilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$487.00 / $1,238.00 / $1,772.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.07 / $318.75 / $475.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.70 / $270.26 / $449.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.06 / $89.22 / $111.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.74 / $455.19 / $526.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.00 / $889.64 / $889.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.07 / $318.75 / $618.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,094.94 / $1,094.94 / $1,094.94