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Minnesota rates for HCPCS C8903

Magnetic resonance imaging with contrast, breast; unilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.75 / $318.75 / $318.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.75 / $318.75 / $425.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$289.02 / $606.20 / $1,118.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$836.00 / $965.20 / $1,535.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$889.64 / $889.64 / $889.64
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$760.00 / $760.00 / $1,520.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.07 / $375.00 / $600.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,094.94 / $1,094.94 / $1,094.94