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Idaho 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 $275 · 10th–90th $141$2820%20%40%10th90th$275Professionalmedian $316 · 10th–90th $112$7410%5%10th90th$316$10.0$50.0$200.0$1.0K

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
$141.25 / $141.25 / $281.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $478.63 / $954.99
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$93.33 / $151.36 / $354.81
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$213.80 / $323.59 / $524.81
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $630.96 / $891.25
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$173.78 / $204.17 / $288.40
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$363.08 / $426.58 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $416.87 / $891.25
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$91.20 / $112.20 / $213.80
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$208.93 / $275.42 / $501.19
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,318.26 / $1,659.59 / $1,659.59
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$891.25 / $891.25 / $891.25
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$776.25 / $776.25 / $776.25
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$141.25 / $275.42 / $281.84
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $676.08 / $954.99
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$120.23 / $199.53 / $295.12
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$281.84 / $446.68 / $660.69
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $229.09
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $724.44 / $870.96
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$177.83 / $218.78 / $263.03
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$363.08 / $501.19 / $588.84
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $316.23 / $707.95
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $102.33 / $229.09
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$213.80 / $213.80 / $478.63
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $616.60 / $1,096.48
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$70.79 / $100.00 / $186.21
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$245.47 / $489.78 / $977.24