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Delaware 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
$76.98 / $90.38 / $90.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.71 / $67.09 / $69.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$402.28 / $402.28 / $402.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.01 / $97.04 / $178.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.94 / $101.88 / $172.24