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Massachusetts 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
$60.10 / $60.10 / $408.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.31 / $65.72 / $107.43
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.79 / $188.12 / $603.13
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.70 / $148.05 / $698.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.66 / $363.85 / $659.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.79 / $646.69 / $1,544.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.66 / $149.87 / $227.92
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.00 / $84.06 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.05 / $72.84 / $130.41
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.20 / $171.59 / $226.46
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.05 / $368.74 / $368.74
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.28 / $155.96 / $698.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.29 / $131.66 / $199.02