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Nebraska 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 $135 · 10th–90th $105$1,0230%50%10th90th$135Professionalmedian $302 · 10th–90th $120$1,0000%5%10%10th90th$302$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$104.71 / $134.90 / $134.90
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $562.34 / $1,949.84
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $213.80 / $380.19
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$218.78 / $281.84 / $724.44
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $354.81 / $794.33
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$112.20 / $186.21 / $251.19
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$426.58 / $426.58 / $426.58
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $630.96 / $660.69
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$190.55 / $199.53 / $208.93
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$416.87 / $436.52 / $457.09
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$602.56 / $602.56 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $776.25 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$162.18 / $245.47 / $316.23
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$389.05 / $524.81 / $724.44
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$1,023.29 / $1,023.29 / $1,023.29
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $812.83 / $1,995.26
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $199.53 / $281.84
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$309.03 / $645.65 / $1,659.59
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $776.25 / $1,174.90
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$208.93 / $239.88 / $371.54
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$457.09 / $537.03 / $812.83
Midlands
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$602.56 / $602.56 / $602.56
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $776.25 / $1,174.90
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$208.93 / $245.47 / $371.54
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$457.09 / $524.81 / $812.83
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $239.88 / $575.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $741.31 / $1,479.11
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $194.98 / $281.84
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$309.03 / $562.34 / $1,230.27