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Louisiana 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
$53.69 / $78.59 / $108.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.79 / $80.28 / $107.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.31 / $300.49 / $574.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.12 / $91.17 / $125.55
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.61 / $60.61 / $66.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.76 / $170.39 / $243.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.63 / $73.95 / $159.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$517.79 / $517.79 / $517.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.70 / $82.18 / $157.08