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Nebraska 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
$95.50 / $95.50 / $95.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $371.54 / $933.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $616.60 / $660.69
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$549.54 / $549.54 / $549.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $660.69 / $1,023.29
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$933.25 / $933.25 / $933.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $891.25 / $2,290.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $758.58 / $1,148.15
Midlands
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$190.55 / $218.78 / $338.84
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$549.54 / $549.54 / $549.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $758.58 / $1,148.15
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $245.47 / $562.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $724.44 / $1,174.90