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Wisconsin rates for HCPCS 77059

Mri Breast Bilateral

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $1,621.81 / $2,570.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $977.24 / $1,230.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $2,951.21 / $2,951.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,365.16 / $4,365.16 / $4,365.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $54.95 / $70.79
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $2,951.21 / $2,951.21
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $4,365.16 / $4,365.16