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Indiana rates for HCPCS 19030

Injection procedure only for mammary ductogram or galactogram

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.97 / $797.50 / $5,634.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.28 / $70.28 / $135.63
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.83 / $95.96 / $154.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.44 / $244.62 / $311.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.00 / $2,174.00 / $4,426.00