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Colorado rates for HCPCS 77047

Magnetic resonance imaging, breast, without contrast material; bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$77.62 / $77.62 / $154.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $257.04 / $645.65
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.57 / $89.13 / $177.83
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$125.89 / $162.18 / $338.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $302.00 / $724.44
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.62 / $100.00 / $147.91
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$144.54 / $190.55 / $501.19
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$151.36 / $151.36 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $309.03 / $645.65
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.10 / $91.20 / $177.83
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$138.04 / $204.17 / $426.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $354.81 / $1,621.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$104.71 / $104.71 / $114.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$213.80 / $213.80 / $239.88
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $229.09 / $338.84
Select Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.13 / $74.13 / $120.23
Select Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$144.54 / $151.36 / $223.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $588.84 / $1,071.52
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.61 / $104.71 / $199.53
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$177.83 / $407.38 / $933.25