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Colorado 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
$69.97 / $73.47 / $373.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.05 / $69.97 / $100.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.13 / $209.21 / $332.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.20 / $102.01 / $158.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.88 / $575.95 / $948.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.81 / $103.53 / $194.00
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.47 / $114.31 / $183.08
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.44 / $129.44 / $137.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.96 / $113.35 / $158.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$517.79 / $517.79 / $517.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.46 / $126.28 / $192.36