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Maryland 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
$61.17 / $61.17 / $61.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.20 / $66.20 / $92.56
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.55 / $86.17 / $175.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.62 / $94.03 / $187.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.91 / $92.76 / $125.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.73 / $97.12 / $147.86
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.53 / $78.20 / $102.39