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California rates for HCPCS 77048

Mri Breast W/Out&With Contrast W/Cad Unilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$140.00 / $140.00 / $609.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.32 / $475.00 / $1,738.40
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.24 / $481.24 / $615.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.48 / $639.28 / $1,153.33
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.43 / $460.61 / $1,110.48
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
$254.34 / $476.01 / $1,097.68
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.54 / $441.88 / $596.54
Contra Costa Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$82.89 / $110.52 / $149.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.87 / $442.59 / $853.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$99.47 / $138.15 / $400.00
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$913.76 / $913.76 / $931.68
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,291.23 / $2,291.23 / $2,857.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $271.41
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$113.82 / $113.82 / $113.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.68 / $550.66 / $1,059.34
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,297.30 / $1,297.30 / $1,297.30
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.36 / $464.15 / $563.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.29 / $577.01 / $1,254.21