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South Dakota 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 $112$1120%50%100%$112Professionalmedian $282 · 10th–90th $107$8320%10%10th90th$282$20.0$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$112.20 / $112.20 / $112.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $524.81 / $1,148.15
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $194.98 / $323.59
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$229.09 / $338.84 / $831.76
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $831.76 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$204.17 / $251.19 / $316.23
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$467.74 / $575.44 / $724.44
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $741.31 / $1,584.89
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$93.33 / $144.54 / $275.42
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$346.74 / $645.65 / $1,348.96
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $741.31 / $891.25
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$218.78 / $234.42 / $263.03
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$467.74 / $512.86 / $630.96
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $812.83 / $812.83
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$239.88 / $239.88 / $239.88
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$575.44 / $575.44 / $575.44
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $575.44 / $676.08
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$131.83 / $186.21 / $208.93
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$302.00 / $436.52 / $467.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $758.58 / $1,230.27
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $169.82 / $239.88
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$263.03 / $549.54 / $1,047.13
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $912.01 / $912.01
Wellmark
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$245.47 / $288.40 / $288.40
Wellmark
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$537.03 / $630.96 / $630.96