go back

Louisiana 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
$550.00 / $900.00 / $1,674.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.75 / $550.00 / $550.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.72 / $488.29 / $1,384.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.02 / $178.02 / $178.02