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Massachusetts 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
$425.00 / $425.00 / $2,072.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.00 / $425.00 / $600.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $418.75 / $818.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$298.95 / $1,751.84 / $2,749.09
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.00 / $675.83 / $1,474.27
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$880.56 / $880.56 / $880.56
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00