go back

Georgia rates for HCPCS 77053

Mammary Ductogram Or Galactogram Single

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$14.88 / $33.40 / $75.77
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$19.67 / $19.67 / $19.67
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.23 / $29.06 / $70.50