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Rhode Island rates for HCPCS C8905

Magnetic Resonance Imaging Without Contrast Followed By With Contrast Breast; Unilateral (Special Coverage Instructions Apply)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.75 / $425.00 / $600.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$717.26 / $811.82 / $1,116.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$803.90 / $1,235.09 / $2,171.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,761.84 / $1,761.84 / $1,761.84