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Minnesota 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 / $318.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.75 / $318.75 / $425.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$604.96 / $886.97 / $1,366.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$836.00 / $965.20 / $1,535.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,761.84 / $1,761.84 / $1,761.84
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$760.00 / $760.00 / $1,520.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.75 / $375.00 / $715.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,463.47 / $1,463.47 / $1,463.47