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South Carolina rates for HCPCS 77054

Mammary Ductogram Or Galactogram Multiple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.50 / $56.50 / $155.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.68 / $57.98 / $69.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.80 / $604.41 / $1,124.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.60 / $172.34 / $255.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.77 / $752.99 / $1,215.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.77 / $107.60 / $184.78
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.63 / $161.97 / $227.34
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.97 / $245.97 / $245.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.98 / $50.97 / $87.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.13 / $230.13 / $270.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.95 / $97.41 / $200.93