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New York 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
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.94 / $153.97 / $254.50
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$828.98 / $2,208.13 / $2,208.13