go back

Minnesota 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
$72.59 / $72.59 / $229.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.50 / $72.59 / $107.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.45 / $710.84 / $1,544.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.13 / $201.18 / $244.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.84 / $245.37 / $603.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.67 / $135.35 / $229.81
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.97 / $221.15 / $475.13
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.58 / $126.00 / $215.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.77 / $138.68 / $215.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.18 / $141.53 / $678.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.18 / $135.22 / $222.59