go back

Nebraska rates for HCPCS 77058

Magnetic Resonance Imaging Breast

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,195.34 / $1,195.34 / $1,494.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$957.22 / $2,771.52 / $2,771.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,772.97 / $3,772.97 / $3,772.97
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$583.46 / $961.55 / $1,470.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.07 / $1,060.56 / $1,344.00