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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
$83.93 / $98.52 / $187.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.11 / $475.00 / $475.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.95 / $140.00 / $140.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$134.16 / $335.00 / $335.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.32 / $288.45 / $449.88
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.08 / $89.24 / $137.15
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$124.24 / $198.30 / $308.35
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.01 / $222.01 / $222.01
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$94.88 / $94.88 / $94.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.56 / $485.47 / $1,178.26
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.68 / $82.78 / $182.12
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$147.55 / $383.37 / $1,123.14