go back

Pennsylvania rates for HCPCS C8905

Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.00 / $1,463.00 / $2,297.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.75 / $400.00 / $425.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$440.45 / $981.46 / $1,808.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,761.84 / $1,761.84 / $1,761.84
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.08 / $1,207.17 / $1,712.44
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$439.88 / $1,477.00 / $2,297.56
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.75 / $425.00 / $1,037.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$422.37 / $952.87 / $1,808.43
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,761.84 / $1,761.84 / $1,761.84