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Michigan 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
$117.49 / $117.49 / $117.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $398.11 / $758.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $512.86 / $549.54
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$24.55 / $114.82 / $162.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $524.81 / $1,047.13
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$89.13 / $218.78 / $245.47
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $398.11 / $758.58
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$24.55 / $114.82 / $162.18
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $416.87 / $933.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $575.44 / $912.01