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Nebraska 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
$64.72 / $64.72 / $67.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.44 / $64.72 / $425.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$289.33 / $392.13 / $736.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.98 / $128.24 / $133.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$378.48 / $378.48 / $378.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.81 / $154.72 / $206.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.72 / $158.86 / $348.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.31 / $135.91 / $678.50
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.94 / $148.53 / $279.07
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.94 / $158.68 / $229.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.43 / $441.26 / $587.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.09 / $134.47 / $171.75