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West Virginia rates for HCPCS 77047

Magnetic resonance imaging, breast, without contrast material; bilateral

Facilitymedian $81 · 10th–90th $74–$1050%20%40%10th90th$81Professionalmedian $155 · 10th–90th $68–$4270%5%10%10th90th$155$20.0$50.0$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$74.13 / $81.28 / $81.28
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $229.09 / $478.63
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $77.62 / $162.18
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$123.03 / $151.36 / $338.84
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $85.11
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$18.62 / $85.11 / $123.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $338.84 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$60.26 / $109.65 / $354.81
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$120.23 / $229.09 / $691.83
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$131.83 / $131.83 / $199.53
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $501.19 / $1,479.11
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$47.86 / $89.13 / $158.49
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$128.82 / $380.19 / $1,348.96