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North Carolina rates for HCPCS 19030

Injection procedure only for mammary ductogram or galactogram

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.01 / $246.89 / $5,449.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.44 / $128.44 / $128.44
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.08 / $201.34 / $345.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.00 / $874.00 / $2,074.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $363.57 / $363.57