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New Hampshire rates for HCPCS C8906

Magnetic Resonance Imaging With Contrast Breast; Bilateral (Special Coverage Instructions Apply)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.00 / $425.00 / $510.00
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
$597.51 / $597.51 / $597.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$725.00 / $2,149.39 / $4,537.17
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$787.04 / $1,455.08 / $1,930.41