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Wisconsin rates for HCPCS 77059

Magnetic Resonance Imaging Breast

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,438.07 / $1,634.18 / $2,146.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$931.91 / $973.13 / $1,058.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,968.44 / $2,968.44 / $2,968.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,357.89 / $4,357.89 / $4,357.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $55.00 / $70.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$774.74 / $2,968.44 / $2,968.44
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,413.41 / $4,357.89 / $4,357.89