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Maine rates for HCPCS 77054

Mammary Ductogram Or Galactogram Multiple

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.57 / $83.39 / $93.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.91 / $440.52 / $722.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.28 / $93.64 / $132.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.28 / $126.49 / $167.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.74 / $102.73 / $186.12
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.57 / $83.39 / $115.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.70 / $104.59 / $173.59