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Rhode Island rates for HCPCS 77047

Magnetic resonance imaging, breast, without contrast material; bilateral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $389.05 / $954.99
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.61 / $125.89 / $309.03
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$125.89 / $263.03 / $416.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $275.42 / $524.81
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.57 / $93.33 / $162.18
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$128.82 / $186.21 / $354.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $446.68 / $537.03
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.10 / $144.54 / $165.96
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$138.04 / $309.03 / $363.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $426.58 / $977.24
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.61 / $89.13 / $144.54
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$173.78 / $251.19 / $776.25