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Missouri 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
$59.97 / $97.12 / $280.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.98 / $65.72 / $99.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.00 / $236.00 / $259.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.34 / $89.93 / $204.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.16 / $205.42 / $912.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.42 / $107.40 / $194.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.17 / $111.57 / $340.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.84 / $112.07 / $678.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.94 / $303.51 / $525.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.33 / $99.88 / $175.80