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Mississippi rates for HCPCS 77054

Mammary Ductogram Or Galactogram Multiple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.97 / $60.16 / $132.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.98 / $103.47 / $132.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.36 / $302.36 / $332.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.00 / $179.00 / $179.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.72 / $205.43 / $586.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.92 / $110.21 / $186.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.73 / $32.34 / $53.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$368.21 / $368.21 / $368.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.51 / $82.18 / $177.16