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South Dakota rates for HCPCS C8910

Magnetic Resonance Angiography Without Contrast Chest (Excluding Myocardium) (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
$280.16 / $280.16 / $318.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,520.00 / $1,520.00 / $1,520.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.35 / $344.35 / $344.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$422.50 / $538.69 / $767.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.42 / $227.99 / $626.15