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Montana 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 $170 · 10th–90th $170$2090%20%40%90th$170Professionalmedian $372 · 10th–90th $117$1,0000%5%10%10th90th$372$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $537.03 / $2,041.74
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $194.98 / $575.44
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$257.04 / $363.08 / $741.31
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $354.81 / $354.81
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$169.82 / $169.82 / $208.93
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $549.54 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$66.07 / $151.36 / $323.59
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$208.93 / $389.05 / $758.58
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $630.96 / $812.83
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$169.82 / $169.82 / $208.93
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $794.33 / $977.24
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$112.20 / $169.82 / $251.19
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$269.15 / $389.05 / $562.34
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $630.96 / $1,174.90
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$74.13 / $100.00 / $208.93
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$245.47 / $457.09 / $1,023.29