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South Carolina rates for HCPCS 77053

Mammary Ductogram Or Galactogram Single

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$14.54 / $14.54 / $14.54
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$23.27 / $31.08 / $53.34