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Nevada 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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$104.79 / $110.11 / $132.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.80 / $475.00 / $2,053.60
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$110.11 / $154.00 / $571.12
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$245.66 / $335.00 / $783.89
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.74 / $268.74 / $510.60
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$84.64 / $150.44 / $228.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.17 / $437.06 / $588.07
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.55 / $130.22 / $175.22
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$241.61 / $306.83 / $425.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.60 / $447.44 / $671.84
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$90.08 / $130.35 / $204.32
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$229.54 / $321.98 / $474.47
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.15 / $441.21 / $543.02
Hometown Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$1.17 / $136.72 / $184.07
Hometown Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1.98 / $311.17 / $409.87
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.15 / $339.39 / $509.09
Hometown Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$1.17 / $105.18 / $157.77
Hometown Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1.98 / $234.21 / $351.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.29 / $626.70 / $1,224.39
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$68.25 / $100.01 / $217.65
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$243.25 / $467.46 / $1,062.90