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Pennsylvania rates for HCPCS 77058

Mri Breast Unilateral

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,380.38 / $1,698.24
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $724.44 / $1,230.27
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $831.76 / $1,096.48