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New Hampshire 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
$151.36 / $151.36 / $151.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $389.05 / $707.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $776.25 / $1,148.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $741.31 / $1,174.90
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $602.56 / $954.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $645.65 / $1,288.25
Well Sense
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$63.10 / $74.13 / $74.13