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Kansas 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
$59.02 / $79.12 / $97.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.72 / $67.50 / $79.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.16 / $157.16 / $157.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.08 / $303.37 / $912.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.92 / $106.84 / $198.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.13 / $104.77 / $213.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.70 / $140.84 / $678.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.64 / $466.94 / $478.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.33 / $101.41 / $153.65