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New Hampshire 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 / $510.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.50 / $425.00 / $425.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.51 / $453.51 / $453.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$725.00 / $1,071.41 / $2,512.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.00 / $700.00 / $700.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.47 / $855.98 / $1,484.85