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Maine rates for HCPCS C8905

Magnetic Resonance Imaging Without Contrast Followed By With Contrast Breast; Unilateral (Special Coverage Instructions Apply)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.00 / $1,100.00 / $1,180.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.75 / $425.00 / $600.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.51 / $473.51 / $937.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,761.84 / $1,761.84 / $1,761.84
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,338.80 / $3,338.80 / $3,338.80
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,100.00 / $1,100.00 / $1,180.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.75 / $600.00 / $1,016.00