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Wisconsin 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 $282 · 10th–90th $162$1,0000%10%10th90th$282Professionalmedian $372 · 10th–90th $107$1,3490%5%10th90th$372$20.0$100.0$500.0$2.0K$10.0K

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
$162.18 / $229.09 / $831.76
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $549.54 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $213.80 / $891.25
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$213.80 / $323.59 / $602.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $575.44 / $1,995.26
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $165.96 / $588.84
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$239.88 / $416.87 / $1,380.38
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $281.84 / $426.58
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$288.40 / $331.13 / $537.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $851.14 / $1,445.44
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$120.23 / $288.40 / $446.68
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$263.03 / $660.69 / $1,000.00
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $758.58 / $1,047.13
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$199.53 / $239.88 / $323.59
DeanCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$436.52 / $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
$457.09 / $1,000.00 / $2,344.23
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $229.09 / $691.83
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$323.59 / $812.83 / $1,659.59
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $70.79
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $912.01 / $1,412.54
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$154.88 / $281.84 / $436.52
Network Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$363.08 / $616.60 / $1,023.29
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $794.33 / $1,174.90
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$251.19 / $1,000.00 / $1,000.00
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $1,905.46 / $2,344.23
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$134.90 / $562.34 / $691.83
Quartz
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$338.84 / $1,348.96 / $1,659.59
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$933.25 / $933.25 / $933.25
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$281.84 / $281.84 / $281.84
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$660.69 / $660.69 / $660.69
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,995.26 / $2,187.76 / $3,019.95
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$512.86 / $691.83 / $794.33
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,258.93 / $1,698.24 / $1,949.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $1,698.24 / $2,754.23
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $380.19 / $831.76
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$95.50 / $660.69 / $1,905.46