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Georgia rates for HCPCS 77049

Mri Breast Without&With Contrast W/Cad Bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$94.60 / $108.06 / $484.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.56 / $475.00 / $1,032.08
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$92.70 / $146.19 / $322.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$200.86 / $245.69 / $515.69
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.97 / $346.02 / $624.97
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.16 / $154.25 / $196.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.02 / $468.00 / $979.00
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$104.06 / $129.33 / $297.33
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$237.87 / $314.08 / $678.49
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.31 / $253.59 / $463.29
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$124.62 / $124.62 / $124.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.81 / $635.88 / $1,062.06
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$108.32 / $176.60 / $326.01
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$254.07 / $438.28 / $736.06
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.28 / $590.29 / $2,223.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$116.50 / $152.51 / $450.68
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$253.78 / $332.22 / $981.78
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.11 / $347.56 / $622.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.20 / $706.54 / $1,277.35
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.09 / $131.10 / $257.89
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$267.23 / $542.67 / $1,144.31