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Maine rates for HCPCS C8936

Magnetic Resonance Angiography Without Contrast Followed By With Contrast Upper Extremity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.79 / $1,100.00 / $1,100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.50 / $425.00 / $600.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.01 / $8.01 / $8.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,717.98 / $1,717.98 / $1,717.98
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
$709.16 / $1,100.00 / $1,100.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.50 / $600.00 / $1,016.00