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North Carolina 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
$60.16 / $77.77 / $174.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.65 / $60.16 / $116.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.20 / $52.20 / $52.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.34 / $98.47 / $276.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.12 / $144.24 / $248.38
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.16 / $144.00 / $227.34
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.00 / $68.00 / $97.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.80 / $149.19 / $219.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.27 / $291.27 / $525.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.97 / $126.13 / $201.15
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.05 / $368.74 / $368.74
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.85 / $698.85 / $698.85