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Pennsylvania rates for HCPCS 77046

Mri Breast Without Contrast Material Unilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$67.42 / $67.42 / $215.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.58 / $216.51 / $522.50
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.63 / $300.57 / $448.49
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
$174.74 / $290.58 / $464.85
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.20 / $307.27 / $535.54
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$67.42 / $88.50 / $220.46
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.86 / $279.48 / $1,362.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.96 / $262.22 / $393.64
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$78.34 / $78.34 / $78.34
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.35 / $294.02 / $464.85
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$67.73 / $67.73 / $80.42
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.69 / $212.83 / $264.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.03 / $328.99 / $870.45