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Illinois rates for HCPCS 77046

Mri Breast Without Contrast Material Unilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$65.16 / $85.03 / $159.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.21 / $227.78 / $522.50
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.24 / $160.24 / $160.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.54 / $249.88 / $479.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.40 / $311.51 / $471.11
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.73 / $359.48 / $1,480.22
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.19 / $103.87 / $414.74
Hally Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.31 / $260.08 / $279.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $92.96 / $292.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.95 / $442.28 / $927.30