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Maryland 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 $112 · 10th–90th $93$1290%20%10th90th$112Professionalmedian $309 · 10th–90th $112$9550%5%10th90th$309$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$93.33 / $112.20 / $128.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $524.81 / $2,041.74
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $181.97 / $549.54
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$213.80 / $288.40 / $645.65
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $457.09 / $691.83
CareFirst
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$125.89 / $134.90 / $154.88
CareFirst
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$316.23 / $323.59 / $512.86
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$177.83 / $177.83 / $177.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $467.74 / $812.83
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $125.89 / $229.09
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$204.17 / $323.59 / $588.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $398.11 / $549.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $120.23 / $165.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$245.47 / $275.42 / $389.05
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $537.03 / $1,258.93
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $104.71 / $245.47
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$251.19 / $389.05 / $1,023.29
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $389.05 / $562.34
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $114.82 / $165.96
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$245.47 / $275.42 / $398.11