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Michigan 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
$316.23 / $316.23 / $1,174.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $316.23 / $478.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,778.28 / $1,778.28
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $1,174.90 / $1,174.90
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $316.23 / $588.84
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $1,778.28 / $1,778.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $371.54 / $977.24