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Idaho rates for HCPCS 77046

Mri Breast Without Contrast Material Unilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$176.60 / $176.60 / $176.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.03 / $453.93 / $522.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.49 / $207.32 / $427.68
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,062.76 / $1,062.76 / $1,179.76
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$486.28 / $486.28 / $486.28
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.24 / $396.40 / $519.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $122.99 / $375.57
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$446.45 / $446.45 / $446.45
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.96 / $449.36 / $519.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.67 / $469.20 / $983.42