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Missouri rates for HCPCS C8903

Magnetic resonance imaging with contrast, breast; unilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.41 / $1,125.00 / $2,209.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.75 / $318.75 / $475.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.51 / $834.44 / $907.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.54 / $660.51 / $1,097.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$889.64 / $889.64 / $889.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.75 / $425.00 / $659.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,094.94 / $1,094.94 / $1,094.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.48 / $322.77 / $410.00