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South Dakota 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
$318.75 / $318.75 / $318.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.75 / $418.35 / $418.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,520.00 / $1,520.00 / $1,520.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$455.81 / $707.01 / $802.75
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$289.11 / $349.11 / $1,001.61