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Idaho 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
$251.31 / $251.31 / $251.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.19 / $475.00 / $717.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.74 / $329.42 / $675.76
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,643.43 / $1,643.43 / $1,824.36
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$701.69 / $701.69 / $701.69
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$545.46 / $628.10 / $823.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $179.48 / $532.44
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$603.21 / $709.66 / $823.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.29 / $615.41 / $1,084.83