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Wisconsin rates for HCPCS 19030

Injection Px Only Mammary Ductogram/Galactogram

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.80 / $274.39 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,139.00 / $1,183.00 / $1,530.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$440.65 / $514.92 / $684.39
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.37 / $147.12 / $320.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.50 / $168.97 / $1,449.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.37 / $149.44 / $320.29
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.84 / $311.95 / $533.50
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.97 / $339.11 / $1,300.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,034.00 / $1,533.00 / $2,202.90