go back

Minnesota rates for HCPCS 77055

Mammogram One Breast

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.98 / $302.19 / $726.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.68 / $163.06 / $279.93
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.79 / $266.43 / $572.41
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.40 / $151.97 / $259.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.17 / $133.02 / $199.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.65 / $396.65 / $396.65