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West Virginia 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
$61.66 / $61.66 / $61.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $66.07 / $104.71
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $46.77 / $81.28
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $23.99 / $23.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $107.15 / $489.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $131.83 / $501.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $660.69 / $660.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $114.82 / $213.80