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Montana rates for HCPCS 77046

Mri Breast Without Contrast Material Unilateral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.58 / $250.03 / $663.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.74 / $106.74 / $345.45
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$106.74 / $106.74 / $131.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.12 / $327.20 / $579.51
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$106.74 / $106.74 / $131.94
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.07 / $344.92 / $569.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.67 / $420.90 / $719.57