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Hawaii rates for HCPCS 77049

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; bilateral

Facilitymedian $123 · 10th–90th $110$1450%10%20%10th90th$123Professionalmedian $347 · 10th–90th $112$1,0960%5%10th90th$347$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$109.65 / $123.03 / $144.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $446.68 / $1,096.48
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$95.50 / $144.54 / $630.96
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$208.93 / $263.03 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $446.68 / $691.83
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$91.20 / $131.83 / $208.93
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$234.42 / $316.23 / $489.78
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,071.52 / $1,513.56 / $1,698.24
HMSA
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$141.25 / $144.54 / $151.36
HMSA
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,174.90 / $1,174.90 / $1,230.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $446.68 / $524.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$112.20 / $128.82 / $151.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$275.42 / $316.23 / $371.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $812.83 / $2,344.23
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $128.82 / $891.25
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$288.40 / $691.83 / $1,659.59
University Health Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $645.65 / $1,047.13
University Health Alliance
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$138.04 / $173.78 / $239.88
University Health Alliance
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$354.81 / $478.63 / $676.08