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Ohio 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
$16.61 / $30.22 / $59.01
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$19.67 / $19.67 / $21.09
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$19.67 / $19.67 / $21.09