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Indiana rates for HCPCS 77046

Mri Breast Without Contrast Material Unilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$63.66 / $63.66 / $107.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.21 / $207.72 / $329.36
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
$182.97 / $234.98 / $364.21
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.52 / $151.27 / $263.10
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
$206.52 / $290.50 / $478.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.73 / $527.44 / $1,092.25