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Pennsylvania 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
$414.38 / $816.00 / $2,105.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.75 / $400.00 / $425.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$285.88 / $613.27 / $1,152.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,317.63 / $1,317.63 / $1,317.63
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.00 / $1,463.00 / $2,105.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.75 / $425.00 / $1,037.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$285.88 / $595.40 / $1,152.28
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,317.63 / $1,317.63 / $1,317.63