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California rates for HCPCS C8903

Magnetic resonance imaging with contrast, breast; unilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$475.00 / $1,197.08 / $3,894.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.07 / $400.00 / $475.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.00 / $614.00 / $2,393.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.51 / $453.51 / $1,018.75
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.20 / $603.79 / $1,657.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.45 / $459.13 / $3,605.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.00 / $440.00 / $889.64
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.37 / $142.37 / $142.37
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.00 / $427.19 / $525.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,520.96 / $2,647.01
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,094.94 / $1,094.94 / $1,094.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $60.00 / $85.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.07 / $400.00 / $731.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,800,000.00 / $2,250,000.00 / $2,400,000.00