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Oklahoma 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
$52.69 / $73.75 / $127.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.68 / $64.53 / $69.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.35 / $62.48 / $91.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.27 / $48.27 / $310.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.39 / $75.77 / $131.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.69 / $96.16 / $348.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.41 / $89.65 / $678.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.50 / $84.06 / $139.66