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Iowa rates for HCPCS C8937

Computer-aided detection, including computer algorithm analysis of breast MRI image data for lesion detection/characterization, pharmacokinetic analysis, with further physician review for interpretation (list separately in addition to code for primary procedure)

Facilitymedian $41 · 10th–90th $1$490%20%10th90th$41Professionalmedian $347 · 10th–90th $1$3470%50%10th$347$1.0$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.95
Median
$346.74
Typical High
$346.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$331.13
Typical High
$331.13
Medica
Setting
Facility
Modifier
Global
Typical Low
$0.52
Median
$0.79
Typical High
$100.00