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North Carolina rates for HCPCS 77049

Mri Breast Without&With Contrast W/Cad Bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$98.14 / $104.02 / $176.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.02 / $475.00 / $1,320.50
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$98.14 / $140.00 / $356.41
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$219.88 / $259.62 / $598.94
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.97 / $710.91 / $710.91
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.64 / $117.69 / $229.61
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$171.13 / $171.13 / $601.25
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$176.68 / $249.74 / $339.28
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$422.55 / $552.04 / $811.40
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
$403.12 / $652.53 / $1,059.28
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$118.08 / $178.90 / $314.52
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$282.49 / $459.71 / $746.62
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$170.98 / $181.39 / $305.76
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.00 / $448.00 / $1,300.35
Medcost
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$170.98 / $170.98 / $170.98
Medcost
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$408.92 / $899.10 / $899.10
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.48 / $314.41 / $561.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.57 / $799.20 / $1,511.55
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.79 / $137.44 / $265.64
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$282.80 / $607.98 / $1,190.98
Wellcare
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$796.48 / $999.76 / $999.76
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,337.81 / $2,907.38 / $2,907.38
Wellcare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$687.65 / $881.25 / $881.25
Wellcare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1,650.16 / $2,026.13 / $2,026.13