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Delaware rates for HCPCS 77047

Magnetic resonance imaging, breast, without contrast material; bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$83.18 / $97.72 / $186.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $323.59 / $891.25
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.61 / $114.82 / $288.40
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$134.90 / $169.82 / $346.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $316.23 / $512.86
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.95 / $91.20 / $138.04
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$123.03 / $208.93 / $309.03
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $223.87 / $223.87
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$95.50 / $95.50 / $95.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $489.78 / $1,412.54
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.26 / $83.18 / $165.96
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$141.25 / $380.19 / $1,258.93