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Kansas rates for HCPCS 77058

Mri Breast Unilateral

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$828.98 / $1,533.22 / $1,685.02
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
$3,772.97 / $3,772.97 / $3,772.97