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Washington rates for HCPCS 77055

Mammogram One Breast

Insurance Carrier
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.00 / $118.35 / $303.87
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.57 / $396.65 / $396.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.68 / $129.68 / $163.06