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Missouri 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
$15.03 / $23.77 / $39.11
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$19.67 / $19.67 / $19.67
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$40.32 / $80.00 / $80.00