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Nebraska rates for HCPCS 19030

Injection procedure only for mammary ductogram or galactogram

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,506.15 / $5,463.36 / $13,841.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.78 / $448.29 / $841.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.59 / $256.69 / $452.06
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.57 / $306.07 / $482.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.00 / $1,775.00 / $4,406.00