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Oklahoma 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
$13.91 / $16.28 / $94.27
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$16.55 / $16.55 / $24.45
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$40.32 / $80.00 / $80.00