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Arizona rates for HCPCS 77053

Mammary ductogram or galactogram, single duct, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$60.26 / $75.86 / $83.18
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$4.17 / $19.50 / $27.54
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$40.74 / $79.43 / $79.43