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Pennsylvania rates for HCPCS 77084

Magnetic resonance (eg, proton) imaging, bone marrow blood supply

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$105.82 / $140.22 / $403.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.25 / $402.08 / $500.00
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.13 / $320.79 / $689.27
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$86.80 / $86.80 / $86.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.63 / $524.99 / $905.88
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.95 / $483.88 / $659.19
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$105.82 / $165.06 / $412.02
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.27 / $425.00 / $1,037.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.90 / $839.70 / $1,350.90
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$86.80 / $86.80 / $86.80
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.68 / $506.83 / $903.33
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$75.33 / $75.33 / $83.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.79 / $295.67 / $496.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.70 / $464.96 / $815.25