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Georgia rates for HCPCS 77047

Magnetic resonance imaging, breast, without contrast material; bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$66.07 / $190.55 / $354.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $263.03 / $1,096.48
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.57 / $89.13 / $275.42
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$120.23 / $158.49 / $354.81
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $239.88 / $239.88
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.26 / $85.11 / $131.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $309.03 / $602.56
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.43 / $91.20 / $154.88
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$158.49 / $190.55 / $316.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $371.54 / $676.08
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.07 / $114.82 / $208.93
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$151.36 / $239.88 / $436.52
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $288.40 / $2,041.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.13 / $95.50 / $194.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$144.54 / $177.83 / $380.19
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $162.18 / $371.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $549.54 / $1,202.26
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.61 / $91.20 / $173.78
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$154.88 / $371.54 / $1,047.13