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Utah rates for HCPCS 77046

Mri Breast Without Contrast Material Unilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$128.00 / $128.00 / $128.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.53 / $475.00 / $522.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.52 / $306.77 / $622.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.98 / $117.87 / $194.07
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$418.84 / $418.84 / $418.84
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.19 / $379.50 / $505.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.67 / $401.68 / $719.57