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Ohio rates for HCPCS 19030

Injection procedure only for mammary ductogram or galactogram

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.28 / $2,113.00 / $10,268.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.42 / $105.45 / $113.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.44 / $128.44 / $21,571.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.44 / $128.44 / $188.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$444.00 / $1,009.00 / $3,218.00