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North Carolina rates for HCPCS 77058

Mri Breast Unilateral

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$828.98 / $993.21 / $1,662.53
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.00 / $573.00 / $676.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.00 / $905.90 / $1,361.10
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,188.32 / $2,771.52 / $2,771.52
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,772.97 / $3,772.97 / $3,772.97