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Wyoming 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
$67.13 / $67.13 / $69.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.04 / $56.71 / $104.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.00 / $290.00 / $290.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.45 / $110.36 / $218.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.29 / $144.19 / $278.30