go back

Wisconsin rates for HCPCS C8908

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.75 / $3,000.46 / $5,360.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.75 / $318.75 / $400.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,940.81 / $1,940.81 / $1,940.81
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.75 / $318.75 / $478.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.75 / $318.75 / $1,831.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,921.87 / $1,921.87 / $1,921.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $70.00 / $619.67
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.75 / $318.75 / $478.13
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,617.00 / $3,617.00 / $3,617.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,940.81 / $1,940.81 / $1,940.81