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Missouri 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 / $1,125.00 / $2,209.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.75 / $318.75 / $475.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,181.00 / $1,181.00 / $1,452.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$458.18 / $1,244.73 / $1,765.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,761.84 / $1,761.84 / $1,761.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.75 / $425.00 / $663.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,463.47 / $1,463.47 / $1,463.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$386.53 / $525.24 / $846.20