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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
$87.56 / $137.69 / $226.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.14 / $352.54 / $812.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.81 / $431.47 / $721.83
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$113.82 / $113.82 / $113.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.63 / $499.99 / $788.51
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$728.08 / $931.68 / $931.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.94 / $732.46 / $2,291.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.49 / $566.03 / $1,210.72