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Wisconsin rates for HCPCS C8912

Magnetic Resonance Angiography With Contrast Lower Extremity (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 / $318.75 / $418.35
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
$1,450.34 / $1,450.34 / $1,450.34
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
$1,360.46 / $1,360.46 / $1,360.46