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Alabama rates for HCPCS 77054

Mammary Ductogram Or Galactogram Multiple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.93 / $58.93 / $87.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.71 / $67.97 / $87.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.72 / $195.04 / $262.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.40 / $70.41 / $83.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.05 / $291.37 / $575.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.11 / $91.42 / $172.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.12 / $460.26 / $466.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.53 / $74.81 / $157.44