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Washington, DC 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
$400.00 / $2,131.00 / $2,599.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.00 / $400.00 / $425.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.42 / $719.40 / $914.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488.18 / $2,107.50 / $2,109.12