MRI angiography of upper arm blood vessels without contrast dye

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 Upper Extremity WO Cntrst

Payers reporting HCPCS C8935

Payer pricing summary

Low

$116

Average

$968

Median

$741

High

$4.1k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +23 other terms	558	$423	$505	$445	88%	—	$1 – $7.1k
2	Aetna fee schedule · outpatient · +27 other terms	414	$267	$500	$553	111%	—	$1 – $3.9k
3	Blue Cross Blue Shield fee schedule · outpatient · +21 other terms	306	$489	$573	$350	61%	—	$1 – $2.8k
4	Humana fee schedule · outpatient · +22 other terms	243	$246	$371	$402	108%	—	$1 – $2.8k
5	Cigna fee schedule · outpatient · +22 other terms	232	$517	$646	$505	78%	—	$213 – $2.8k
6	Molina fee schedule · outpatient · +16 other terms	131	$316	$399	$390	98%	—	$1 – $2.8k
7	WellCare fee schedule · outpatient · +13 other terms	127	$246	$283	$85	30%	—	$220 – $566
8	Anthem fee schedule · outpatient · +16 other terms	93	$515	$607	$372	61%	—	$117 – $1.7k
9	Kaiser fee schedule · outpatient · +16 other terms	72	$398	$528	$394	75%	—	$239 – $2.7k
10	Devoted fee schedule · outpatient · +8 other terms	70	$244	$244	$14	6%	—	$217 – $268
11	Ambetter fee schedule · outpatient · +10 other terms	56	$475	$493	$152	31%	—	$298 – $1.3k
12	Tricare fee schedule · outpatient · +9 other terms	45	$260	$256	$27	10%	—	$213 – $315
13	Oscar fee schedule · outpatient · +11 other terms	40	$489	$463	$99	21%	—	$281 – $681
14	Optum fee schedule · outpatient · +13 other terms	36	$239	$317	$168	53%	—	$216 – $881
15	Clover fee schedule · outpatient · +3 other terms	33	$264	$255	$17	7%	—	$215 – $288
16	Bcbs Tx fee schedule · outpatient · +3 other terms	32	$807	$824	$340	41%	—	$227 – $1.7k
17	MultiPlan fee schedule · outpatient · +12 other terms	29	$393	$1.0k	$1.2k	115%	—	$227 – $4.0k
18	Medicare fee schedule · outpatient · +10 other terms	28	$239	$239	$6	2%	—	$227 – $266
19	Caresource fee schedule · outpatient · +12 other terms	27	$246	$267	$70	26%	—	$1 – $408
20	First Health fee schedule · outpatient · +12 other terms	18	$249	$469	$421	90%	—	$227 – $2.0k
21	Highmark fee schedule · outpatient · +8 other terms	18	$323	$334	$151	45%	—	$109 – $1.6k
22	Healthcare Highways other · outpatient · +2 other terms	17	$1.2k	$1.2k	$22	2%	—	$1.1k – $1.2k
23	Regence fee schedule · outpatient · +7 other terms	16	$435	$551	$241	44%	—	$268 – $1.3k
24	Ucare case rate · outpatient · +6 other terms	15	$254	$250	$5	2%	—	$242 – $254
25	Medical Mutual facility · fee schedule · outpatient · +8 other terms	14	$226	$285	$189	66%	—	$123 – $898

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