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Delaware rates for HCPCS 77049

Mri Breast Without&With Contrast W/Cad Bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$104.65 / $142.68 / $268.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.62 / $475.00 / $582.21
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$97.56 / $140.00 / $168.71
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$220.06 / $335.00 / $413.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.64 / $471.03 / $710.88
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.73 / $127.57 / $196.91
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$204.92 / $327.10 / $508.51
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.65 / $347.65 / $347.65
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$106.23 / $106.23 / $137.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.80 / $444.22 / $1,187.59
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.05 / $112.95 / $261.56
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$244.64 / $632.03 / $1,099.94