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Montana rates for HCPCS 77053

Mammary Ductogram Or Galactogram Single

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$26.82 / $26.82 / $33.15
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$26.82 / $26.82 / $33.15