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Illinois 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
$318.75 / $1,527.00 / $3,206.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.75 / $318.75 / $475.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.11 / $259.79 / $328.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.45 / $265.91 / $822.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $345.40 / $345.40
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00