go back

Arizona rates for HCPCS 77058

Magnetic Resonance Imaging Breast

Insurance Carrier
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$957.22 / $2,771.52 / $2,771.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,772.97 / $3,772.97 / $3,772.97