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Wisconsin 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)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.52 / $0.52 / $0.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.52 / $0.52 / $0.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.87 / $6.87 / $6.87
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.52 / $0.52 / $0.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.52 / $0.52 / $1.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.52 / $0.52 / $0.62
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.87 / $6.87 / $6.87