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Vermont rates for HCPCS 77047

Magnetic resonance imaging, breast, without contrast material; bilateral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $371.54 / $691.83
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.62 / $125.89 / $512.86
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$151.36 / $257.04 / $407.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $309.03 / $977.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $354.81 / $776.25
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$97.72 / $112.20 / $239.88
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$204.17 / $245.47 / $524.81
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $257.04 / $977.24
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.28 / $81.28 / $316.23
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$177.83 / $177.83 / $177.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $537.03 / $1,445.44
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.62 / $107.15 / $257.04
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$169.82 / $338.84 / $1,258.93