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California rates for HCPCS 77058

Magnetic Resonance Imaging Breast

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$782.06 / $993.21 / $1,662.53
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.00 / $475.00 / $1,006.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.00 / $2,771.52 / $2,771.52
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,772.97 / $3,772.97 / $3,772.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $60.00 / $85.00