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North Dakota 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
$74.15 / $74.15 / $120.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.98 / $72.59 / $82.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.76 / $168.78 / $176.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.55 / $77.55 / $77.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.04 / $135.35 / $206.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.15 / $109.38 / $171.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.07 / $148.11 / $678.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.09 / $140.31 / $186.45