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Maryland rates for HCPCS 77053

Mammary Ductogram Or Galactogram Single

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$14.72 / $14.72 / $14.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.00 / $20.22 / $28.24