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Wyoming rates for HCPCS 77047

Magnetic resonance imaging, breast, without contrast material; bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$72.44 / $72.44 / $72.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $295.12 / $524.81
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.44 / $141.25 / $575.44
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$134.90 / $208.93 / $354.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $891.25 / $1,659.59
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$194.98 / $295.12 / $562.34
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$380.19 / $588.84 / $1,122.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $467.74 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.13 / $134.90 / $229.09
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$177.83 / $257.04 / $489.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $602.56 / $2,344.23
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.18 / $144.54 / $263.03
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$281.84 / $524.81 / $2,089.30