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Ohio 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
$64.53 / $120.17 / $583.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.57 / $64.53 / $118.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.00 / $165.14 / $342.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.61 / $100.81 / $202.63
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.34 / $43.62 / $93.13
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.93 / $47.05 / $73.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.37 / $467.66 / $830.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.57 / $100.67 / $193.93
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.37 / $467.66 / $1,014.52
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.71 / $96.53 / $181.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.78 / $53.68 / $92.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.39 / $88.95 / $164.50