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Maine 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
$707.95 / $1,096.48 / $1,174.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $398.11 / $602.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $691.83 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $1,778.28 / $1,778.28
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,311.31 / $3,311.31 / $3,311.31
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,096.48 / $1,174.90
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $398.11 / $1,023.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $1,949.84 / $3,311.31