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South Carolina 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 / $2,057.00 / $2,173.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.75 / $318.75 / $425.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$893.71 / $1,495.48 / $2,533.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.12 / $863.58 / $895.82
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.75 / $350.63 / $541.88
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.72 / $145.72 / $145.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.55 / $178.55 / $178.55