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New Hampshire rates for HCPCS 77046

Magnetic resonance imaging, breast, without contrast material; unilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$102.33 / $102.33 / $102.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $251.19 / $478.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $489.78 / $724.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $501.19 / $741.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $389.05 / $602.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $407.38 / $1,023.29
Well Sense
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$43.65 / $51.29 / $51.29