go back

Georgia rates for HCPCS 77054

Mammary Ductogram Or Galactogram Multiple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.37 / $155.76 / $269.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.02 / $61.37 / $271.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.47 / $114.77 / $208.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.70 / $106.56 / $220.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.77 / $105.97 / $268.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.04 / $134.85 / $255.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.98 / $117.93 / $417.43
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.19 / $185.60 / $275.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.34 / $583.67 / $583.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.88 / $119.34 / $210.80