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Utah rates for HCPCS 19030

Injection Px Only Mammary Ductogram/Galactogram

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.84 / $2,164.00 / $4,387.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.00 / $1,556.00 / $4,495.00