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Rhode Island rates for HCPCS 77054

Mammary Ductogram Or Galactogram Multiple

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.10 / $65.72 / $92.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$343.03 / $505.74 / $541.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.72 / $100.80 / $160.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.20 / $654.17 / $1,150.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.31 / $115.90 / $162.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.90 / $116.25 / $172.73