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Virginia 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
$15.14 / $30.20 / $109.65
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$4.17 / $19.50 / $27.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.49 / $19.05 / $24.55
Medcost
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.12 / $31.62 / $37.15