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Missouri 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
$100.00 / $229.09 / $676.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $363.08 / $870.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $416.87 / $660.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $363.08 / $549.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $501.19 / $933.25
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$724.44 / $933.25 / $933.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $707.95 / $2,290.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $562.34 / $1,023.29