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Oregon 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
$237.07 / $237.07 / $3,672.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.75 / $318.75 / $603.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.62 / $204.66 / $498.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$889.64 / $889.64 / $889.64
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.75 / $603.00 / $949.73
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.17 / $446.17 / $446.17
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.12 / $293.12 / $79,999.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.75 / $603.00 / $1,296.45
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,250,000.00 / $2,250,000.00 / $2,400,000.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$491.95 / $687.27 / $786.02