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Maine rates for HCPCS C8911

Magnetic Resonance Angiography Without Contrast Followed By With Contrast Chest (Excluding Myocardium) (Special Coverage Instructions Apply)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.79 / $1,100.00 / $1,180.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.75 / $425.00 / $600.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.38 / $311.38 / $567.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,471.54 / $1,471.54 / $1,471.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,338.80 / $3,338.80 / $3,338.80
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,100.00 / $1,100.00 / $1,180.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.75 / $600.00 / $1,016.00