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Oklahoma 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 / $931.00 / $2,100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.00 / $318.75 / $342.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$854.72 / $1,159.06 / $1,678.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.42 / $366.42 / $366.42
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 / $318.75 / $430.31