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See a sample rate comparisonHCPCS C8905 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral
| Key Fact | Detail |
|---|---|
| Service Type | Outpatient PPS Magnetic Resonance Angiography, Trunk and Lower Extremities |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for C8905 |
National average reimbursement for HCPCS C8905 by major payers:
$168.65
$221.70
$377.18
$435.88
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HCPCS C8905
5 of 25 sample ratesHigher to lower in this preview
The Medical Center Inc, Piedmont Columbus Regional Midtown
The Medical Center Inc
$2,386.57Published rateHospital Service District No. 1 Of Caldwell Parish, Citizens Medical Center
Citizens Medical Center
$828.27Published rateHospital Service District 2 Of The Parish Of Tangipahoa State Of La., Hood Memorial Hospital
Hospital Service District 2 Of The Parish Of Tangipahoa State Of La
$736.23Published rateLafayette Surgical Hospital LLC, Lafayette Surgical Specialty Hospital
Lafayette Surgical Specialty Hospital
$544.69Published rateEmanuel County Hospital Authority, Emanuel Medical Center
$278.05Published rate
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See a sample payer proposalHCPCS C8905 vs. Other Magnetic Resonance Angiography, Trunk and Lower Extremities Codes
The HCPCS C8905 code is part of the Outpatient PPS services used for Magnetic Resonance Angiography, Trunk and Lower Extremities. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS C8905 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| C8903-HCPCS | Low | Magnetic resonance imaging with contrast, breast; unilateral |
| C8905-HCPCS | Low | Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral |
| C8906-HCPCS | Low | Magnetic resonance imaging with contrast, breast; bilateral |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS C8905. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the C8905 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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