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Iowa 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
$700.70 / $700.70 / $700.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.75 / $318.75 / $475.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $222.79 / $222.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.26 / $399.28 / $760.75
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.07 / $169.24 / $233.07