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Connecticut 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
$86.20 / $86.20 / $96.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.57 / $86.20 / $230.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.55 / $280.27 / $529.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.28 / $131.69 / $170.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.58 / $257.57 / $1,337.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.36 / $169.79 / $243.87
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.06 / $130.59 / $177.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.58 / $117.03 / $183.85