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Missouri rates for HCPCS 19030

Injection procedure only for mammary ductogram or galactogram

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.19 / $2,782.00 / $8,000.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$862.00 / $1,818.00 / $4,958.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.44 / $128.44 / $128.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.87 / $147.03 / $342.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.00 / $875.00 / $1,351.00