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Virginia 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
$525.00 / $2,010.00 / $3,094.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.00 / $400.00 / $525.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$693.85 / $904.09 / $1,364.41
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.70 / $731.72 / $810.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.00 / $989.26 / $1,811.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$889.64 / $889.64 / $889.64
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.75 / $525.94 / $866.25
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.00 / $1,050.00 / $9,929.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,031.00 / $1,050.00 / $9,929.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$322.77 / $410.47 / $505.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.47 / $410.47 / $410.47