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North Carolina 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
$15.48 / $19.04 / $28.99
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$19.67 / $19.67 / $19.67
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$19.98 / $28.03 / $48.07
Wellcare
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$49.08 / $83.60 / $83.60