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Texas rates for HCPCS 19030

Injection Px Only Mammary Ductogram/Galactogram

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.20 / $2,124.00 / $7,316.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.00 / $2,673.00 / $4,277.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.48 / $63.48 / $161.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.44 / $128.44 / $128.44
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $339.11 / $363.57
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.98 / $140.72 / $248.66
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.51 / $144.24 / $250.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.00 / $952.00 / $2,376.00