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New Jersey 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
$210.13 / $402.08 / $3,727.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.00 / $402.08 / $475.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$414.00 / $500.98 / $780.38
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.28 / $416.84 / $432.79