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Vermont rates for HCPCS 77054

Mammary Ductogram Or Galactogram Multiple

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.61 / $96.16 / $96.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$531.34 / $531.34 / $531.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$585.87 / $585.87 / $585.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.40 / $139.52 / $294.10
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$585.87 / $585.87 / $585.87
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.40 / $139.52 / $294.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.92 / $160.62 / $280.16