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Oklahoma rates for HCPCS 19030

Injection procedure only for mammary ductogram or galactogram

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.00 / $2,536.00 / $7,500.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.10 / $97.10 / $113.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.34 / $174.18 / $871.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.00 / $610.00 / $1,883.00