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Minnesota rates for HCPCS 77053

Mammary Ductogram Or Galactogram Single

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$17.42 / $17.42 / $17.42
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$14.10 / $14.10 / $14.10
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$34.49 / $58.42 / $143.66
Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$30.71 / $52.66 / $113.13