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New York rates for HCPCS 77047

Magnetic resonance imaging, breast, without contrast material; bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$82.43 / $112.75 / $203.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.11 / $371.89 / $643.79
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.63 / $115.34 / $166.95
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$133.24 / $259.35 / $430.52
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.91 / $151.91 / $173.62
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.71 / $41.71 / $41.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.89 / $291.69 / $647.88
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.84 / $87.98 / $179.85
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$164.04 / $203.71 / $399.84
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.94 / $234.70 / $344.64
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$86.45 / $86.45 / $86.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.95 / $373.57 / $973.40
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.29 / $105.75 / $235.25
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$126.34 / $252.99 / $655.80
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.51 / $307.64 / $470.54
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$71.22 / $99.24 / $170.48
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$149.63 / $195.65 / $313.39
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.95 / $326.16 / $505.00
Excellus BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.85 / $83.41 / $158.12
Excellus BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$124.10 / $215.68 / $313.83
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.64 / $306.04 / $432.44
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.61 / $131.59 / $154.94
MVP Health Care
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$86.45 / $86.45 / $86.45
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.87 / $373.57 / $779.92
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.43 / $112.82 / $227.20
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$133.96 / $269.61 / $544.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.96 / $294.14 / $1,002.46
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.97 / $81.96 / $212.98
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$138.87 / $198.19 / $804.83
Univera
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$80.92 / $80.92 / $101.57
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.95 / $326.16 / $571.94
Univera
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.85 / $110.47 / $193.72
Univera
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$124.10 / $215.68 / $378.22