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Michigan 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
$318.75 / $318.75 / $1,170.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.00 / $318.75 / $342.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,236.33 / $1,236.33 / $1,236.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,189.07 / $1,761.84 / $1,761.84
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.75 / $318.75 / $1,170.11
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.75 / $318.75 / $425.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$368.12 / $368.12 / $368.12