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New Mexico rates for HCPCS 77047

Magnetic resonance imaging, breast, without contrast material; bilateral

Facilitymedian $107 · 10th–90th $102$1070%50%10th$107Professionalmedian $166 · 10th–90th $65$4790%5%10th90th$166$50.0$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$102.33 / $107.15 / $107.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $251.19 / $660.69
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $77.62 / $154.88
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$114.82 / $162.18 / $338.84
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $154.88 / $338.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $316.23 / $446.68
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$63.10 / $100.00 / $144.54
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$125.89 / $204.17 / $295.12
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $257.04
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $371.54 / $549.54
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$67.61 / $102.33 / $144.54
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$128.82 / $204.17 / $295.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $602.56 / $1,202.26
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$66.07 / $70.79 / $162.18
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$147.91 / $537.03 / $1,122.02