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Nebraska 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
$16.39 / $87.68 / $147.79
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$95.34 / $95.34 / $95.34
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$80.00 / $80.00 / $80.00
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$53.43 / $54.98 / $95.34