MRI angiography of arm blood vessels, with and 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

MRA UPPER EXT W WO CONTRAST

Payers reporting HCPCS C8936

Payer pricing summary

Low

$171

Average

$1.4k

Median

$1.1k

High

$4.8k

Payer rate distribution

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Filter by billing class

#
1	Bcbs Al facility · other · outpatient · +1 other terms	2	$610	$610	$251	41%	1–10	$360 – $861
2	UnitedHealthcare fee schedule · outpatient · +27 other terms	567	$627	$712	$530	75%	—	$1 – $10.5k
3	Aetna fee schedule · outpatient · +29 other terms	427	$390	$655	$604	92%	—	$1 – $4.8k
4	Blue Cross Blue Shield fee schedule · outpatient · +23 other terms	322	$733	$876	$526	60%	—	$1 – $4.6k
5	Humana fee schedule · outpatient · +24 other terms	255	$364	$518	$429	83%	—	$1 – $3.2k
6	Cigna fee schedule · outpatient · +26 other terms	243	$647	$831	$520	63%	—	$311 – $2.8k
7	Molina fee schedule · outpatient · +18 other terms	134	$447	$537	$461	86%	—	$1 – $4.6k
8	WellCare fee schedule · outpatient · +16 other terms	129	$361	$411	$122	30%	—	$321 – $837
9	Anthem fee schedule · outpatient · +19 other terms	86	$608	$720	$472	66%	—	$185 – $2.6k
10	Kaiser fee schedule · outpatient · +18 other terms	74	$633	$744	$508	68%	—	$349 – $3.3k
11	Devoted fee schedule · outpatient · +11 other terms	72	$362	$359	$21	6%	—	$318 – $396
12	Ambetter facility · fee schedule · outpatient · +13 other terms	60	$594	$606	$119	20%	—	$363 – $860
13	Tricare fee schedule · outpatient · +10 other terms	49	$354	$373	$57	15%	—	$274 – $447
14	Optum fee schedule · outpatient · +11 other terms	42	$357	$591	$387	65%	—	$317 – $1.7k
15	Oscar fee schedule · outpatient · +13 other terms	40	$714	$677	$145	21%	—	$411 – $996
16	MultiPlan fee schedule · outpatient · +13 other terms	38	$1.5k	$1.5k	$1.4k	92%	—	$335 – $4.9k
17	Clover fee schedule · outpatient · +4 other terms	33	$390	$375	$26	7%	—	$315 – $421
18	Bcbs Tx fee schedule · outpatient · +4 other terms	32	$1.3k	$1.3k	$567	42%	—	$335 – $2.8k
19	Medicare fee schedule · outpatient · +12 other terms	28	$349	$350	$8	2%	—	$344 – $389
20	Caresource fee schedule · outpatient · +11 other terms	27	$359	$391	$103	26%	—	$1 – $596
21	Highmark facility · fee schedule · outpatient · +13 other terms	26	$601	$744	$469	63%	—	$259 – $2.1k
22	First Health fee schedule · outpatient · +13 other terms	24	$466	$734	$463	63%	—	$335 – $2.0k
23	Healthcare Highways other · outpatient · +4 other terms	17	$1.2k	$1.2k	$22	2%	—	$1.1k – $1.2k
24	Regence fee schedule · outpatient · +14 other terms	16	$682	$858	$377	44%	—	$392 – $2.0k
25	Aetna Better Health fee schedule · outpatient · +9 other terms	15	$403	$398	$39	10%	—	$335 – $438

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