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Iowa 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
$185.53 / $185.53 / $185.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.98 / $64.72 / $99.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.27 / $271.17 / $279.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.94 / $162.90 / $217.85
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.83 / $90.97 / $272.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.96 / $183.00 / $454.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.63 / $132.69 / $678.50
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.94 / $158.68 / $279.07
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.94 / $157.08 / $235.48
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.60 / $92.60 / $241.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.68 / $314.60 / $460.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.81 / $89.65 / $148.50
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.28 / $128.19 / $150.80