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Iowa rates for HCPCS 77053

Mammary Ductogram Or Galactogram Single

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$24.15 / $54.58 / $100.83
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$51.87 / $53.43 / $54.98
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.92 / $23.40 / $89.23
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$53.43 / $80.00 / $80.00
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$53.43 / $54.98 / $95.34