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Pennsylvania rates for HCPCS 77058

Mri Breast Unilateral

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$828.98 / $1,533.22 / $1,685.02
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.00 / $700.00 / $1,242.70
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$828.98 / $1,387.62 / $1,685.02