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Virginia rates for HCPCS 19030

Injection procedure only for mammary ductogram or galactogram

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.58 / $3,226.00 / $8,294.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.44 / $128.44 / $128.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.16 / $184.98 / $228.14
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.26 / $166.27 / $295.11
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.98 / $108.31 / $215.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.00 / $1,148.00 / $2,364.00