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Tennessee rates for HCPCS 19030

Injection procedure only for mammary ductogram or galactogram

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.93 / $1,285.44 / $6,681.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.00 / $145.00 / $623.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.70 / $128.44 / $188.98
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $363.57 / $363.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.00 / $814.00 / $2,495.00