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Wyoming 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 / $95.50 / $95.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $457.09 / $724.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,348.96 / $2,570.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $724.44 / $1,380.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $812.83 / $2,290.87