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North Carolina 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 / $1,020.00 / $2,920.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.75 / $318.75 / $425.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,559.10 / $1,971.73 / $2,428.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.20 / $1,236.33 / $1,236.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,761.84 / $1,761.84 / $1,761.84
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.75 / $318.75 / $430.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$786.50 / $786.50 / $786.50
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00