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Louisiana rates for HCPCS 19030

Injection procedure only for mammary ductogram or galactogram

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.48 / $1,236.00 / $3,500.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.80 / $405.92 / $585.79
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $63.48 / $63.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.19 / $136.19 / $136.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.00 / $580.00 / $1,506.00