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Connecticut rates for HCPCS C8903

Magnetic Resonance Imaging With Contrast Breast; Unilateral (Special Coverage Instructions Apply)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.82 / $1,750.44 / $2,441.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.50 / $600.00 / $600.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$445.07 / $1,345.00 / $1,870.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.13 / $453.51 / $563.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.92 / $561.07 / $808.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00