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Maine rates for HCPCS 77046

Mri Breast Without Contrast Material Unilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$82.20 / $82.20 / $82.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.67 / $362.84 / $522.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.85 / $306.51 / $445.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.19 / $364.03 / $770.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.87 / $319.93 / $577.15
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.67 / $425.00 / $1,016.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.02 / $618.27 / $877.15