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Nebraska 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
$318.75 / $575.94 / $700.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.75 / $318.75 / $318.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$905.95 / $1,227.80 / $2,304.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.57 / $478.13 / $573.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,094.94 / $1,094.94 / $1,094.94
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.07 / $171.54 / $233.07