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Washington, DC 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
$66.20 / $66.20 / $66.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.17 / $66.20 / $66.20
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.17 / $86.17 / $380.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.61 / $379.67 / $1,959.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.57 / $158.56 / $281.64
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.30 / $86.03 / $163.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.78 / $106.18 / $244.93