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Arkansas rates for HCPCS 77054

Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.99 / $103.65 / $159.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.69 / $89.99 / $143.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.73 / $223.73 / $243.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.59 / $101.39 / $112.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.05 / $267.87 / $379.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.77 / $111.67 / $168.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.73 / $115.68 / $160.44