go back

Idaho rates for HCPCS 77054

Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation

Facilitymedian $214 · 10th–90th $69$8710%5%10th90th$214Professionalmedian $83 · 10th–90th $56$1480%10%10th90th$83$20.0$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$177.83 / $177.83 / $177.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $74.13 / $138.04
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $562.34 / $1,000.00
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $125.89 / $177.83
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$316.23 / $776.25 / $1,348.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $117.49 / $181.97
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $263.03 / $288.40
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63.10 / $112.20 / $213.80
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $134.90 / $190.55
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $32.36 / $45.71
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $645.65 / $870.96
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $141.25 / $169.82
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $64.57 / $173.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $95.50 / $162.18