| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $501.19 | $501.19 | $501.19 | |
Aetna
| Professional | $346.74 | $346.74 | $346.74 | |
Cigna
| Professional | $6.92 | $6.92 | $524.81 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 |
Computer-aided detection, including computer algorithm analysis of breast MRI image data for lesion detection/characterization, pharmacokinetic analysis, with further physician review for interpretation (list separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $501.19 | $501.19 | $501.19 | |
Aetna
| Professional | $346.74 | $346.74 | $346.74 | |
Cigna
| Professional | $6.92 | $6.92 | $524.81 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 |