go back

Maine rates for HCPCS C8914

Magnetic Resonance Angiography Without Contrast Followed By With Contrast Lower Extremity (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
$310.76 / $310.76 / $504.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,150.00 / $1,150.00 / $1,160.00
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