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Montana 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
$295.12 / $457.09 / $794.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $107.15 / $436.52
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$154.88 / $154.88 / $190.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $478.63 / $1,023.29
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $616.60 / $794.33
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$154.88 / $154.88 / $190.55
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $776.25 / $954.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $616.60 / $954.99