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Michigan rates for HCPCS 77046

Mri Breast Without Contrast Material Unilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$81.29 / $81.29 / $102.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.26 / $251.46 / $522.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.04 / $321.20 / $433.62
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
$214.81 / $332.21 / $584.88
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$57.78 / $57.78 / $102.42
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.33 / $232.50 / $475.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.81 / $132.36 / $226.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.57 / $547.85 / $859.07