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West Virginia rates for HCPCS C8903

Magnetic resonance imaging with contrast, breast; unilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.75 / $318.75 / $750.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.07 / $400.00 / $400.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.62 / $221.20 / $1,173.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$889.64 / $889.64 / $889.64