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Ohio rates for HCPCS 77058

Mri Breast Unilateral

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$828.98 / $1,031.04 / $1,662.53
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.57 / $1,380.93 / $1,522.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $60.00