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Tennessee rates for HCPCS 77049

Mri Breast Without&With Contrast W/Cad Bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$93.93 / $136.05 / $558.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.02 / $370.50 / $640.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.94 / $112.48 / $231.22
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$214.98 / $256.87 / $385.24
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.57 / $530.03 / $743.68
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$80.59 / $125.93 / $251.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.01 / $537.35 / $871.64
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$103.72 / $161.97 / $263.42
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$241.88 / $381.07 / $614.34
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$112.31 / $112.31 / $124.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.82 / $517.79 / $863.08
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$92.60 / $157.94 / $257.35
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$204.92 / $358.27 / $608.20
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$999.76 / $999.76 / $1,020.08
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,337.81 / $2,337.81 / $2,907.38
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$687.65 / $687.65 / $881.25
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1,650.16 / $1,650.16 / $2,026.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.53 / $669.86 / $1,104.90
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.60 / $126.37 / $266.75
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$263.29 / $480.06 / $892.29