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Pennsylvania rates for HCPCS 77048

Mri Breast W/Out&With Contrast W/Cad Unilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$96.94 / $142.40 / $310.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.43 / $358.60 / $607.01
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.08 / $476.81 / $711.45
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$113.82 / $113.82 / $113.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.91 / $461.55 / $737.22
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.57 / $489.12 / $852.56
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.19 / $388.19 / $542.64
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$96.94 / $147.34 / $316.99
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.89 / $441.00 / $1,320.50
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.96 / $419.54 / $622.79
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$113.82 / $113.82 / $113.82
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.30 / $465.49 / $737.22
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$98.57 / $98.57 / $116.37
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.77 / $337.87 / $419.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.02 / $512.79 / $954.18