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Texas rates for HCPCS C8903

Magnetic resonance imaging with contrast, breast; unilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.75 / $1,577.00 / $2,577.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.00 / $318.75 / $475.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.13 / $530.80 / $922.50
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$201.62 / $562.63 / $1,676.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$772.33 / $772.33 / $2,000.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $2,647.01
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,094.94 / $1,094.94 / $1,094.94
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.00 / $334.69 / $904.74
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.75 / $334.69 / $904.74
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$772.33 / $2,250,000.00 / $2,400,000.00