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Idaho rates for HCPCS C8903

Magnetic resonance imaging with contrast, breast; unilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.07 / $237.07 / $237.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.07 / $318.75 / $475.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.24 / $504.76 / $602.62
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.75 / $318.75 / $425.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $79.73
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.39 / $491.92 / $727.72