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Texas rates for HCPCS 77058

Mri Breast Unilateral

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$828.98 / $1,235.30 / $1,685.02
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$834.95 / $2,771.52 / $2,771.52
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,772.97 / $3,772.97 / $3,772.97
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$766.50 / $1,190.90 / $1,435.00