MR angiography of lower extremity with contrast

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

MRA LOWER EXTREMITY W CONTRAST

Payers reporting HCPCS C8912

Payer pricing summary

Low

$175

Average

$2.9k

Median

$1.2k

High

$31.0k

Payer rate distribution

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#
1	Bcbs Al facility · other · outpatient · +1 other terms	4	$710	$568	$268	47%	2–20	$197 – $861
2	UnitedHealthcare fee schedule · outpatient · +25 other terms	584	$687	$726	$485	67%	—	$1 – $10.5k
3	Aetna fee schedule · outpatient · +28 other terms	436	$390	$621	$567	91%	—	$1 – $5.8k
4	Blue Cross Blue Shield fee schedule · outpatient · +25 other terms	348	$821	$1.0k	$1.0k	101%	—	$1 – $21.9k
5	Cigna fee schedule · outpatient · +23 other terms	263	$776	$1.1k	$1.0k	96%	—	$311 – $14.1k
6	Humana fee schedule · outpatient · +25 other terms	254	$360	$535	$532	99%	—	$1 – $4.5k
7	Molina fee schedule · outpatient · +19 other terms	140	$447	$535	$666	125%	—	$1 – $8.8k
8	WellCare fee schedule · outpatient · +14 other terms	136	$361	$411	$121	29%	—	$307 – $837
9	Anthem fee schedule · outpatient · +16 other terms	92	$569	$726	$552	76%	—	$185 – $4.1k
10	Devoted fee schedule · outpatient · +9 other terms	75	$362	$360	$21	6%	—	$318 – $396
11	Kaiser fee schedule · outpatient · +14 other terms	72	$506	$894	$1.2k	132%	—	$349 – $8.5k
12	Ambetter facility · fee schedule · outpatient · +13 other terms	63	$594	$603	$109	18%	—	$363 – $860
13	Tricare fee schedule · outpatient · +10 other terms	59	$354	$380	$54	14%	—	$272 – $447
14	Optum fee schedule · outpatient · +11 other terms	42	$357	$927	$954	103%	—	$317 – $3.8k
15	Oscar fee schedule · outpatient · +14 other terms	42	$714	$679	$153	22%	—	$411 – $996
16	Highmark facility · fee schedule · outpatient · +9 other terms	36	$618	$651	$381	59%	—	$219 – $1.8k
17	Clover fee schedule · outpatient · +4 other terms	34	$390	$376	$27	7%	—	$315 – $421
18	MultiPlan fee schedule · outpatient · +14 other terms	34	$617	$1.4k	$1.3k	92%	—	$335 – $4.5k
19	Bcbs Tx fee schedule · outpatient · +4 other terms	32	$1.3k	$1.3k	$567	42%	—	$335 – $2.8k
20	Medicare other · both · +12 other terms	31	$335	$367	$34	9%	—	$326 – $449
21	Caresource fee schedule · outpatient · +11 other terms	29	$362	$402	$104	26%	—	$1 – $609
22	Baylor Scott White Health Plan facility · fee schedule · outpatient · +1 other terms	26	$2.0k	$1.9k	$164	8%	—	$1.7k – $2.1k
23	First Health fee schedule · outpatient · +14 other terms	23	$364	$1.1k	$1.1k	100%	—	$335 – $3.0k
24	Medicaid fee schedule · outpatient · +10 other terms	20	$3.7k	$3.4k	$2.8k	82%	—	$1 – $8.8k
25	Cigna Healthspring fee schedule · outpatient · +7 other terms	18	$357	$358	$9	2%	—	$349 – $375

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