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West Virginia 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
$97.72 / $107.15 / $107.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $363.08 / $575.44
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $112.20 / $112.20
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
$295.12 / $549.54 / $1,584.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $645.65 / $1,412.54