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Virginia rates for HCPCS 77058

Mri Breast Unilateral

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$828.98 / $828.98 / $993.21
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,118.42 / $2,118.42 / $2,118.42
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.00 / $665.00 / $1,229.00