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North Carolina rates for HCPCS 77047

Magnetic resonance imaging, breast, without contrast material; bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$67.61 / $114.82 / $234.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $295.12 / $1,174.90
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.57 / $104.71 / $446.68
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$123.03 / $162.18 / $389.05
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.61 / $69.18 / $123.03
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$144.54 / $144.54 / $144.54
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$114.82 / $177.83 / $239.88
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$229.09 / $363.08 / $489.78
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
$251.19 / $380.19 / $676.08
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.61 / $117.49 / $208.93
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$165.96 / $257.04 / $446.68
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $223.87 / $223.87
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $199.53 / $398.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $549.54 / $1,318.26
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.44 / $93.33 / $194.98
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$162.18 / $436.52 / $1,071.52
Wellcare
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$691.83 / $691.83 / $691.83
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $1,479.11 / $1,862.09
Wellcare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$478.63 / $478.63 / $602.56
Wellcare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1,000.00 / $1,000.00 / $1,258.93