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New Jersey 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
$107.43 / $107.43 / $341.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.71 / $69.61 / $107.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.26 / $149.86 / $245.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.76 / $108.71 / $196.69
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.06 / $96.44 / $170.48
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$474.24 / $587.66 / $1,120.74
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.17 / $74.84 / $154.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.92 / $373.55 / $575.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.00 / $95.85 / $161.22