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Nebraska rates for HCPCS 77058

Mri Breast Unilateral

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,230.27 / $1,513.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $2,754.23 / $2,754.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $3,801.89 / $3,801.89
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,318.26 / $1,348.96