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Washington 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 / $318.75 / $318.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.00 / $318.75 / $603.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$397.72 / $540.74 / $1,323.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.22 / $207.97 / $1,018.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.07 / $564.47 / $1,060.50
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.43 / $490.69 / $1,594.98
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.38 / $445.00 / $79,999.20
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$201.22 / $201.22 / $201.22
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$397.72 / $540.74 / $1,016.49
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.43 / $92.43 / $207.97