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Michigan rates for HCPCS C8920

Magnetic resonance angiography without contrast followed by with contrast, pelvis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.75 / $353.93 / $401.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.00 / $318.75 / $418.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,331.90 / $1,331.90 / $1,331.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$772.33 / $772.33 / $1,344.54
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.75 / $353.93 / $401.62
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