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Tennessee 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
$162.18 / $537.03 / $562.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $354.81 / $616.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $416.87 / $812.83
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$102.33 / $102.33 / $102.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $489.78 / $831.76
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$912.01 / $912.01 / $912.01
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $2,884.03 / $2,884.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $676.08 / $1,023.29