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Maryland 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 / $425.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.75 / $400.00 / $475.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.98 / $101.98 / $101.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,341.00 / $1,341.00 / $1,341.00