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Tennessee rates for HCPCS 77054

Mammary Ductogram Or Galactogram Multiple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.97 / $57.97 / $60.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.18 / $60.64 / $89.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.64 / $107.72 / $161.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.56 / $140.18 / $315.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.28 / $106.43 / $206.31
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.05 / $368.74 / $368.74
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$678.50 / $698.85 / $698.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.61 / $279.64 / $524.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.48 / $100.44 / $170.75