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Idaho 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
$44.13 / $44.13 / $44.13
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$149.29 / $149.29 / $149.29
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$446.45 / $446.45 / $446.45