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Virginia rates for HCPCS 77046

Mri Breast Without Contrast Material Unilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$60.96 / $78.92 / $265.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.01 / $212.03 / $416.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.60 / $257.81 / $422.93
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.02 / $326.44 / $2,586.50
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
$198.78 / $323.64 / $577.40
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.96 / $247.15 / $302.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.11 / $73.33 / $91.01
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$80.00 / $108.06 / $213.29
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.95 / $277.00 / $447.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.56 / $288.68 / $464.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.57 / $375.80 / $1,121.82