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Nebraska 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 / $575.94 / $700.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.75 / $318.75 / $318.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$905.95 / $1,227.80 / $2,304.89
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 / $510.00 / $589.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,463.47 / $1,463.47 / $1,463.47
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$289.11 / $349.11 / $464.50