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Montana rates for HCPCS C8913

Magnetic Resonance Angiography Without Contrast Lower Extremity (Special Coverage Instructions Apply)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.10 / $318.75 / $638.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.56 / $477.73 / $1,328.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.00 / $777.11 / $777.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$266.10 / $396.17 / $688.63
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$777.11 / $2,400,000.00 / $2,400,000.00