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Pennsylvania 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
$414.38 / $1,343.00 / $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
$440.45 / $981.46 / $1,808.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.00 / $525.00 / $1,211.13
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,225.25 / $2,331.78 / $3,837.50
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$439.88 / $1,463.00 / $2,161.00
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
$422.37 / $952.87 / $1,808.43
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.00 / $525.00 / $1,211.13