go back

Louisiana rates for HCPCS C8905

Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$550.00 / $900.00 / $1,674.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.75 / $550.00 / $550.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$469.87 / $909.09 / $1,889.54
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.48 / $77.48 / $77.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.13 / $357.13 / $357.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,761.84 / $1,761.84 / $1,761.84