MRI angiography of lower extremity arteries, without and 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

HC Mra Low Extrem W & W/O-Cms

Payers reporting HCPCS C8914

Payer pricing summary

Low

$171

Average

$2.7k

Median

$1.5k

High

$24.7k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Anthem fee schedule · outpatient · +22 other terms	92	$603	$736	$516	70%	2–20	$185 – $4.3k
2	Bcbs Al facility · other · outpatient · +1 other terms	4	$710	$725	$152	21%	2–20	$467 – $861
3	UnitedHealthcare fee schedule · outpatient · +27 other terms	582	$691	$735	$491	67%	—	$1 – $10.5k
4	Aetna fee schedule · outpatient · +30 other terms	437	$390	$692	$755	109%	—	$1 – $6.2k
5	Blue Cross Blue Shield fee schedule · outpatient · +25 other terms	352	$843	$1.0k	$1.1k	105%	—	$1 – $24.9k
6	Humana fee schedule · outpatient · +26 other terms	264	$363	$573	$612	107%	—	$1 – $4.6k
7	Cigna fee schedule · outpatient · +27 other terms	258	$718	$972	$685	70%	—	$311 – $3.7k
8	Molina fee schedule · outpatient · +21 other terms	139	$447	$550	$770	140%	—	$1 – $10.0k
9	WellCare fee schedule · outpatient · +16 other terms	137	$361	$420	$150	36%	—	$307 – $1.5k
10	Devoted fee schedule · outpatient · +11 other terms	73	$362	$360	$20	6%	—	$318 – $396
11	Kaiser fee schedule · outpatient · +18 other terms	71	$582	$836	$1.1k	131%	—	$70 – $9.0k
12	Ambetter facility · fee schedule · outpatient · +14 other terms	64	$594	$595	$113	19%	—	$363 – $860
13	Tricare fee schedule · outpatient · +13 other terms	56	$354	$416	$370	89%	—	$272 – $4.1k
14	Optum fee schedule · outpatient · +13 other terms	42	$357	$977	$1.1k	111%	—	$317 – $4.3k
15	Oscar fee schedule · outpatient · +15 other terms	41	$727	$685	$150	22%	—	$411 – $996
16	MultiPlan fee schedule · outpatient · +13 other terms	37	$713	$1.7k	$1.6k	92%	—	$335 – $4.6k
17	Highmark facility · fee schedule · outpatient · +13 other terms	36	$623	$707	$443	63%	—	$259 – $2.1k
18	Clover fee schedule · outpatient · +5 other terms	34	$390	$376	$27	7%	—	$315 – $421
19	Bcbs Tx fee schedule · outpatient · +4 other terms	32	$1.3k	$1.3k	$567	42%	—	$335 – $2.8k
20	Medicare fee schedule · outpatient · +13 other terms	31	$349	$352	$16	5%	—	$335 – $449
21	Caresource fee schedule · outpatient · +14 other terms	29	$362	$423	$206	49%	—	$1 – $1.5k
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 · +16 other terms	24	$431	$1.2k	$1.3k	103%	—	$335 – $3.4k
24	Medicaid facility · fee schedule · outpatient · +9 other terms	21	$304	$324	$37	11%	—	$304 – $426
25	Healthcare Highways other · outpatient · +5 other terms	17	$1.2k	$1.2k	$22	2%	—	$1.1k – $1.2k

Page 1 of 3 · 61 payers