go back

Montana rates for HCPCS 77048

Mri Breast W/Out&With Contrast W/Cad Unilateral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.43 / $475.00 / $572.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.74 / $106.74 / $345.45
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$155.11 / $155.11 / $191.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.03 / $519.69 / $918.77
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$155.11 / $155.11 / $191.75
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.56 / $544.73 / $883.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.29 / $615.41 / $910.28