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Arizona rates for HCPCS 19030

Injection procedure only for mammary ductogram or galactogram

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,170.00 / $2,640.00 / $7,562.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.18 / $314.45 / $518.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.44 / $128.44 / $128.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.37 / $153.76 / $370.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$716.00 / $1,535.00 / $2,175.00