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Indiana 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
$93.33 / $141.25 / $177.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $338.84 / $602.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $371.54 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $478.63 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $630.96 / $1,071.52