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Nebraska rates for HCPCS 77054

Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation

Facilitymedian $295 · 10th–90th $68–$4370%10%10th90th$295Professionalmedian $83 · 10th–90th $60–$2090%10%20%10th90th$83$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $67.61
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $72.44 / $134.90
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$288.40 / $380.19 / $741.31
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $125.89 / $134.90
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$380.19 / $380.19 / $380.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $162.18 / $208.93
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $131.83 / $346.74
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $134.90 / $676.08
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $147.91 / $234.42
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$380.19 / $380.19 / $380.19
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $194.98 / $288.40
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $295.12 / $436.52
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $131.83 / $181.97