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Utah 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
$128.00 / $128.00 / $128.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.89 / $475.00 / $717.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.13 / $486.97 / $986.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.03 / $206.27 / $323.46
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.57 / $599.33 / $802.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.29 / $551.73 / $869.33