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Georgia rates for HCPCS 19030

Injection Px Only Mammary Ductogram/Galactogram

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.48 / $2,987.00 / $6,915.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,875.00 / $7,875.00 / $7,875.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.76 / $153.83 / $180.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.44 / $128.44 / $128.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.62 / $189.14 / $506.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$353.00 / $1,580.00 / $2,665.00