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Ohio 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 / $134.90 / $346.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $371.54 / $741.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $467.74 / $758.58
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$24.55 / $114.82 / $162.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $489.78 / $831.76
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$24.55 / $114.82 / $162.18
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $467.74 / $870.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $208.93
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $346.74 / $707.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $489.78 / $977.24