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New Mexico 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 $155 · 10th–90th $148$1550%50%10th$155Professionalmedian $282 · 10th–90th $100$7590%5%10th90th$282$50.0$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
$147.91 / $154.88 / $154.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $398.11 / $1,949.84
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$83.18 / $128.82 / $549.54
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$186.21 / $257.04 / $416.87
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $239.88 / $416.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $489.78 / $691.83
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$91.20 / $141.25 / $208.93
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$208.93 / $331.13 / $489.78
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $407.38
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $575.44 / $870.96
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $144.54 / $208.93
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$208.93 / $338.84 / $489.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $758.58 / $1,348.96
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$69.18 / $100.00 / $229.09
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$245.47 / $575.44 / $1,318.26