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See a sample rate comparisonCPT 77048 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Mri Breast C W Cad Uni, 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 Unilateral
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Breast, Mammography |
| Common Place of Service | 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | None 26 - Professional component LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 77048 |
| Medicaid Fee Schedule | View Medicaid rates for 77048 |
National average reimbursement for CPT 77048 by major payers:
$435.37
$621.26
$460.55
$555.80
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CPT 77048
5 of 25 sample ratesHigher to lower in this preview
Megan Rayman
Northern Arizona Healthcare Corporation
$1,431.43Published rateCarolina Radiology Associates LLC
Carolina Radiology Associates, LLC
$593.46Published rateKarlie Ryan
Bama Heart Doc, PC Dba Alabama Heart & Vascular Medicine
$394.45Published rateVirginia Rowland
Northern Arizona Healthcare Corporation
$244.17Published rateAmy Moore
Bama Heart Doc, PC Dba Alabama Heart & Vascular Medicine
$107.19Published rate
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See a sample payer proposalCPT 77048 vs. Other Breast, Mammography Codes
The CPT 77048 code is part of the Radiology Procedures services used for Breast, Mammography. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 77048 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 77046-CPT | Moderate | Mri Of One Or Both Breasts, An Mri (Magnetic Resonance Imaging) Uses A Strong Magnetic Field To View And Create Images Of One Or Both Breasts. Multiple Images May Be Taken. |
| 77047-CPT | Moderate | Mri Of One Or Both Breasts, An Mri (Magnetic Resonance Imaging) Uses A Strong Magnetic Field To View And Create Images Of One Or Both Breasts. Multiple Images May Be Taken. |
| 77048-CPT | Moderate | Mri Breast C W Cad Uni, 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 Unilateral |
| 77049-CPT | Moderate | Mri Breast C W Cad Bi, 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 |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 77048. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 77048 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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