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Oklahoma rates for HCPCS 77058

Mri Breast Unilateral

Insurance Carrier
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$957.22 / $957.22 / $2,771.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,772.97 / $3,772.97 / $3,772.97