go back

Tennessee 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
$14.75 / $14.75 / $92.24
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$19.67 / $19.67 / $21.09
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$48.89 / $83.60 / $83.60