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California rates for HCPCS 77046

Mri Breast Without Contrast Material Unilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$140.00 / $140.00 / $419.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.52 / $475.00 / $1,420.20
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.24 / $160.24 / $160.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.74 / $405.11 / $725.75
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.06 / $289.36 / $698.41
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$78.34 / $78.34 / $78.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.33 / $305.83 / $689.30
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.80 / $278.01 / $375.31
Contra Costa Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.46 / $75.76 / $102.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.61 / $289.83 / $538.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$68.18 / $94.70 / $400.00
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$624.08 / $624.08 / $641.60
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.91 / $1,445.91 / $1,798.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $164.75
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$78.34 / $78.34 / $78.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.77 / $367.43 / $671.85
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$817.21 / $817.21 / $817.21
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.84 / $292.32 / $354.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.67 / $460.77 / $1,016.02