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Washington 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 $195 · 10th–90th $123$2820%10%10th90th$195Professionalmedian $363 · 10th–90th $120$1,0230%5%10th90th$363$10.0$50.0$200.0$1.0K$5.0K

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
$123.03 / $194.98 / $309.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $537.03 / $2,041.74
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $162.18 / $602.56
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$218.78 / $338.84 / $691.83
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $741.31 / $1,023.29
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$81.28 / $190.55 / $213.80
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$446.68 / $446.68 / $549.54
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $758.58 / $1,047.13
Asuris Northwest Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$151.36 / $229.09 / $309.03
Asuris Northwest Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$354.81 / $537.03 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $645.65 / $1,122.02
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$91.20 / $169.82 / $323.59
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$234.42 / $457.09 / $794.33
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$128.82 / $204.17 / $275.42
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $707.95 / $977.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $199.53 / $275.42
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$288.40 / $501.19 / $707.95
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $151.36
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $218.78 / $467.74
Premera BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$147.91 / $147.91 / $147.91
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $707.95 / $1,000.00
Premera BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$147.91 / $223.87 / $316.23
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$338.84 / $512.86 / $707.95
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $741.31 / $1,047.13
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$151.36 / $229.09 / $309.03
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$354.81 / $524.81 / $724.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $645.65 / $1,288.25
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$74.13 / $123.03 / $309.03
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$245.47 / $501.19 / $977.24
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $407.38 / $758.58
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$114.82 / $123.03 / $218.78
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$281.84 / $288.40 / $549.54