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Washington rates for HCPCS 77059

Magnetic Resonance Imaging Breast

Insurance Carrier
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$834.95 / $2,968.44 / $2,968.44
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,357.89 / $4,357.89 / $4,357.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$786.29 / $786.29 / $988.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $75.00 / $75.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$735.96 / $1,017.73 / $1,432.08