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Missouri rates for HCPCS 77058

Mri Breast Unilateral

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,000.00 / $1,698.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,174.90 / $2,754.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,801.89 / $3,801.89 / $3,801.89