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Wisconsin 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 / $1,947.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.16 / $318.75 / $318.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.35 / $344.35 / $344.35
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 / $573.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,845.78 / $1,845.78 / $1,845.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.75 / $318.75 / $478.13
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,509.07 / $1,509.07 / $1,509.07
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.35 / $344.35 / $344.35