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Florida rates for HCPCS 77047

Magnetic resonance imaging, breast, without contrast material; bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$50.12 / $50.12 / $257.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $234.42 / $645.65
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.12 / $75.86 / $190.55
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$104.71 / $144.54 / $338.84
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $169.82 / $371.54
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.54 / $77.62 / $120.23
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$18.62 / $85.11 / $123.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $316.23 / $512.86
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.70 / $85.11 / $169.82
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$104.71 / $190.55 / $380.19
Florida Blue
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$85.11 / $85.11 / $85.11
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $239.88 / $371.54
Florida Blue
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.29 / $77.62 / $114.82
Florida Blue
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$95.50 / $162.18 / $245.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $112.20 / $275.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $416.87 / $977.24
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.26 / $69.18 / $138.04
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$131.83 / $323.59 / $870.96
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $169.82 / $208.93
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.54 / $57.54 / $72.44
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$112.20 / $112.20 / $138.04