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Minnesota rates for HCPCS 77049

Mri Breast Without&With Contrast W/Cad Bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$111.16 / $111.16 / $111.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.74 / $475.00 / $2,053.60
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$97.96 / $140.00 / $572.67
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$214.79 / $285.82 / $433.49
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$91.56 / $91.56 / $91.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.21 / $1,022.36 / $1,239.97
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$189.84 / $312.41 / $378.91
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$489.84 / $709.94 / $861.06
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$242.60 / $378.64 / $910.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.01 / $676.75 / $1,250.44
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$127.57 / $205.60 / $349.16
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$326.06 / $471.15 / $885.94
Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$210.23 / $333.83 / $717.21
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.88 / $662.76 / $1,098.41
Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$161.88 / $198.77 / $326.82
Health Partners
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$370.98 / $461.41 / $792.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.22 / $1,009.93 / $2,337.81
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$109.57 / $231.22 / $687.65
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$300.50 / $720.39 / $1,650.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.90 / $805.67 / $1,996.48
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$100.00 / $156.32 / $358.69
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$286.19 / $667.14 / $1,020.61