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Massachusetts rates for HCPCS 19030

Injection procedure only for mammary ductogram or galactogram

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.32 / $2,079.00 / $3,625.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.74 / $627.00 / $2,733.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.10 / $107.99 / $195.22
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $271.56 / $6,679.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.00 / $953.00 / $2,796.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $1,818.00 / $2,733.00