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Rhode Island rates for HCPCS 77049

Mri Breast Without&With Contrast W/Cad Bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$696.38 / $696.38 / $696.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.00 / $589.03 / $859.51
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$129.53 / $157.33 / $311.07
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$237.71 / $420.00 / $431.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.49 / $434.79 / $782.49
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$94.26 / $134.65 / $221.20
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$210.10 / $300.14 / $561.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.32 / $727.10 / $810.54
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$99.82 / $219.76 / $233.01
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$235.83 / $507.34 / $577.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.84 / $674.05 / $1,109.83
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.69 / $131.86 / $231.24
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$269.37 / $365.39 / $781.92