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Ohio rates for HCPCS 77053

Mammary ductogram or galactogram, single duct, radiological supervision and interpretation

Facilitymedian $23 · 10th–90th $16$590%20%10th90th$23$5.0$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$16.60 / $23.44 / $58.88
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$4.17 / $19.50 / $27.54
SummaCare
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$295.12 / $295.12 / $295.12