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Nevada rates for HCPCS 77047

Magnetic resonance imaging, breast, without contrast material; bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$75.86 / $75.86 / $91.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $338.84 / $1,412.54
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.57 / $89.13 / $158.49
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$131.83 / $194.98 / $371.54
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $239.88 / $331.13
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.23 / $58.88 / $67.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $251.19 / $389.05
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.79 / $79.43 / $125.89
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$147.91 / $169.82 / $263.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $281.84 / $426.58
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.54 / $87.10 / $134.90
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$125.89 / $186.21 / $281.84
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $257.04 / $346.74
Hometown Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$0.63 / $87.10 / $117.49
Hometown Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$107.15 / $186.21 / $239.88
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $2.45 / $323.59
Hometown Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$0.63 / $0.63 / $109.65
Hometown Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$204.17 / $204.17 / $213.80
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $213.80 / $213.80
Select Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.44 / $72.44 / $72.44
Select Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$141.25 / $144.54 / $144.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $398.11 / $1,122.02
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.88 / $70.79 / $134.90
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$138.04 / $288.40 / $1,047.13