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Tennessee 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 / $557.80 / $1,667.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.75 / $318.75 / $450.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.02 / $201.74 / $481.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$579.39 / $849.98 / $1,190.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.00 / $575.00 / $575.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,094.94 / $1,094.94 / $1,094.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.58 / $349.58 / $349.58