Lower extremity MR angiography without 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

HC Mra Lwr Ext W/O Contrast

Payers reporting HCPCS C8913

Payer pricing summary

Low

$116

Average

$2.5k

Median

$963

High

$29.4k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +27 other terms	586	$427	$523	$455	87%	—	$1 – $7.1k
2	Aetna fee schedule · outpatient · +29 other terms	438	$270	$543	$542	100%	—	$1 – $5.8k
3	Blue Cross Blue Shield fee schedule · outpatient · +24 other terms	348	$557	$698	$845	121%	—	$1 – $18.9k
4	Humana fee schedule · outpatient · +25 other terms	262	$246	$448	$525	117%	—	$1 – $3.1k
5	Cigna fee schedule · outpatient · +25 other terms	258	$543	$742	$544	73%	—	$213 – $3.0k
6	Molina fee schedule · outpatient · +19 other terms	141	$312	$385	$556	144%	—	$1 – $7.5k
7	WellCare fee schedule · outpatient · +14 other terms	136	$246	$282	$86	30%	—	$201 – $645
8	Anthem fee schedule · outpatient · +21 other terms	98	$547	$660	$502	76%	—	$117 – $3.9k
9	Devoted fee schedule · outpatient · +11 other terms	73	$245	$245	$13	5%	—	$217 – $268
10	Kaiser fee schedule · outpatient · +15 other terms	70	$398	$650	$963	148%	—	$239 – $7.8k
11	Ambetter fee schedule · outpatient · +14 other terms	64	$450	$481	$140	29%	—	$298 – $1.3k
12	Tricare fee schedule · outpatient · +12 other terms	56	$254	$259	$28	11%	—	$97 – $305
13	Optum fee schedule · outpatient · +11 other terms	42	$244	$588	$570	97%	—	$216 – $2.3k
14	Oscar fee schedule · outpatient · +16 other terms	41	$497	$468	$103	22%	—	$281 – $681
15	MultiPlan fee schedule · outpatient · +14 other terms	35	$487	$1.1k	$1.0k	94%	—	$227 – $3.3k
16	Clover fee schedule · outpatient · +4 other terms	34	$264	$256	$17	7%	—	$215 – $288
17	Highmark facility · fee schedule · outpatient · +12 other terms	33	$421	$486	$300	62%	—	$177 – $1.5k
18	Bcbs Tx fee schedule · outpatient · +4 other terms	32	$807	$824	$340	41%	—	$227 – $1.7k
19	Medicare fee schedule · outpatient · +12 other terms	29	$239	$239	$6	2%	—	$227 – $266
20	Caresource fee schedule · outpatient · +14 other terms	28	$246	$273	$70	26%	—	$1 – $408
21	Baylor Scott White Health Plan facility · fee schedule · outpatient · +1 other terms	26	$2.0k	$1.9k	$164	8%	—	$1.7k – $2.1k
22	First Health fee schedule · outpatient · +14 other terms	24	$368	$791	$743	94%	—	$227 – $2.8k
23	Medicaid facility · fee schedule · outpatient · +9 other terms	20	$213	$217	$25	11%	—	$206 – $288
24	Aetna Better Health fee schedule · outpatient · +8 other terms	17	$320	$298	$88	30%	—	$127 – $617
25	Healthcare Highways other · outpatient · +5 other terms	17	$1.2k	$1.2k	$22	2%	—	$1.1k – $1.2k

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