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Illinois rates for HCPCS 19030

Injection Px Only Mammary Ductogram/Galactogram

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.46 / $414.18 / $4,200.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$391.80 / $838.08 / $1,678.25
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.52 / $247.02 / $530.40
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.00 / $900.00 / $3,686.00