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Minnesota rates for HCPCS 77058

Mri Breast Unilateral

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,297.26 / $1,840.62 / $4,427.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$789.88 / $1,031.04 / $1,686.68
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,021.99 / $1,529.60 / $3,486.51
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$782.06 / $960.20 / $1,518.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,772.97 / $3,772.97 / $3,772.97