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Ohio rates for HCPCS 77058

Mri Breast Unilateral

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,023.29 / $1,659.59
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $1,122.02 / $1,513.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $50.12 / $60.26