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Minnesota 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 / $81.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $281.84 / $724.44
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.57 / $104.71 / $204.17
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$125.89 / $173.78 / $371.54
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$54.95 / $63.10 / $63.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $537.03 / $794.33
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$123.03 / $181.97 / $269.15
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$239.88 / $371.54 / $524.81
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$61.66 / $239.88 / $660.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $436.52 / $831.76
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.18 / $141.25 / $234.42
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$181.97 / $288.40 / $562.34
Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$213.80 / $263.03 / $512.86
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $338.84 / $562.34
Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$112.20 / $112.20 / $177.83
Health Partners
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$229.09 / $229.09 / $380.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $707.95 / $1,479.11
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.86 / $138.04 / $478.63
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$173.78 / $512.86 / $1,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $616.60 / $1,096.48
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.28 / $138.04 / $245.47
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$173.78 / $426.58 / $933.25