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Michigan rates for HCPCS 19030

Injection procedure only for mammary ductogram or galactogram

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.40 / $2,056.00 / $4,933.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$771.61 / $1,055.53 / $2,537.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.44 / $128.44 / $128.44
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.99 / $2,056.00 / $4,933.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$464.00 / $1,438.00 / $2,029.00