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Michigan 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
$318.75 / $318.75 / $318.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.00 / $318.75 / $425.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,040.19 / $1,040.19 / $1,040.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.00 / $700.00 / $1,211.13
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
$318.75 / $318.75 / $425.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $100.00