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Idaho rates for HCPCS 77053

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

Facilitymedian $45 · 10th–90th $45–$4470%50%90th$45Professionalmedian $148 · 10th–90th $148–$1480%50%100%$148$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$44.67 / $44.67 / $44.67
BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$446.68 / $446.68 / $446.68
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$147.91 / $147.91 / $147.91
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$44.67 / $44.67 / $44.67
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$446.68 / $446.68 / $446.68