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New Hampshire 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
$425.00 / $425.00 / $1,198.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.50 / $425.00 / $425.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.51 / $473.51 / $473.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$725.00 / $2,149.39 / $4,537.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,761.84 / $1,761.84 / $1,761.84
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$787.04 / $1,455.08 / $1,930.41