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Rhode Island rates for HCPCS 77047

Mri Breast Without Contrast Material Bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$484.84 / $484.84 / $484.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.05 / $391.85 / $600.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.26 / $140.00 / $180.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$145.79 / $276.50 / $420.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.77 / $277.77 / $495.08
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$65.16 / $93.08 / $154.71
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$129.28 / $184.69 / $340.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.49 / $464.15 / $512.54
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.84 / $152.44 / $162.24
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$145.13 / $311.70 / $350.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.51 / $426.24 / $1,016.48
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.63 / $101.18 / $143.63
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$172.98 / $255.25 / $767.46