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Utah rates for HCPCS C8903

Magnetic resonance imaging with contrast, breast; unilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $2,884.03 / $3,890.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $316.23 / $602.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $691.83 / $724.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $691.83 / $1,445.44
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $346.74 / $758.58
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $588.84 / $1,258.93
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $512.86 / $512.86