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Illinois rates for HCPCS 77053

Mammary Ductogram Or Galactogram Single

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$16.36 / $30.28 / $40.54
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.05 / $26.51 / $127.33
Hally Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00