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Michigan rates for HCPCS C8913

Magnetic Resonance Angiography Without 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
$250.00 / $318.75 / $318.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,141.99 / $1,141.99 / $1,141.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$772.33 / $772.33 / $1,317.63
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.75 / $318.75 / $318.75
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.00 / $318.75 / $425.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $100.00