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Maryland 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
$14.79 / $14.79 / $14.79
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$27.54 / $27.54 / $27.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.98 / $19.05 / $26.30