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Arizona rates for HCPCS 77048

Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokinetic analysis), when performed; unilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$139.04 / $336.37 / $420.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.76 / $475.00 / $572.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.79 / $354.04 / $442.55
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$113.82 / $113.82 / $113.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.08 / $480.14 / $794.99
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$931.68 / $931.68 / $931.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.29 / $731.38 / $2,291.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.29 / $615.41 / $869.33