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Hawaii 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
$17.05 / $19.32 / $22.73
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
$18.52 / $20.21 / $23.58