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Iowa rates for HCPCS 77058

Mri Breast Unilateral

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,031.04 / $1,195.34 / $1,494.19
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $150.00 / $150.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,188.32 / $2,771.52 / $2,771.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$905.09 / $3,772.97 / $3,772.97
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$583.46 / $961.55 / $1,470.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.07 / $1,060.56 / $1,344.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$753.60 / $753.60 / $1,982.40