go back

Maine 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
Professional
Modifier
Low / Median / High Price
$316.23 / $398.11 / $602.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $489.78 / $1,202.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $524.81 / $977.24
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $512.86 / $1,000.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $489.78 / $1,023.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $676.08 / $1,148.15