CPT 77054

Breast duct X-ray imaging of multiple ducts

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC GALACTOGRAM, MULTIPLE DUCTS

Payer pricing summary

Low

$56

Average

$355

Median

$281

High

$1.1k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +31 other terms	627	$329	$314	$302	96%	—	$20 – $7.1k
2	Aetna fee schedule · outpatient · +31 other terms	561	$248	$357	$453	127%	—	$1 – $8.4k
3	Cigna fee schedule · outpatient · +21 other terms	429	$260	$377	$290	77%	—	$21 – $1.4k
4	Blue Cross Blue Shield fee schedule · outpatient · +30 other terms	408	$371	$410	$348	85%	—	$1 – $1.8k
5	Humana fee schedule · outpatient · +27 other terms	325	$235	$244	$219	90%	—	$16 – $1.3k
6	Molina fee schedule · outpatient · +28 other terms	208	$219	$184	$154	84%	—	$16 – $1.0k
7	Anthem fee schedule · outpatient · +20 other terms	144	$185	$153	$181	118%	—	$14 – $1.7k
8	WellCare fee schedule · outpatient · +18 other terms	129	$246	$257	$107	41%	—	$22 – $566
9	Ambetter fee schedule · outpatient · +17 other terms	81	$366	$295	$217	74%	—	$55 – $1.3k
10	Kaiser fee schedule · outpatient · +18 other terms	81	$340	$398	$329	83%	—	$21 – $1.8k
11	Aetna Better Health fee schedule · outpatient · +16 other terms	71	$75	$92	$46	50%	—	$60 – $267
12	Devoted facility · fee schedule · outpatient · +12 other terms	68	$237	$307	$539	176%	—	$217 – $4.9k
13	MultiPlan fee schedule · outpatient · +19 other terms	68	$672	$544	$467	86%	—	$28 – $1.5k
14	Oscar fee schedule · outpatient · +16 other terms	60	$417	$300	$221	74%	—	$1 – $681
15	Caresource fee schedule · outpatient · +15 other terms	52	$244	$236	$99	42%	—	$40 – $461
16	Tricare fee schedule · outpatient · +18 other terms	50	$235	$227	$70	31%	—	$21 – $670
17	Optum fee schedule · outpatient · +16 other terms	43	$232	$469	$442	94%	—	$46 – $1.7k
18	First Health fee schedule · outpatient · +15 other terms	39	$249	$262	$381	146%	—	$26 – $1.3k
19	Cigna Healthspring fee schedule · outpatient · +9 other terms	34	$199	$178	$83	46%	—	$70 – $300
20	Clover fee schedule · outpatient · +9 other terms	33	$264	$256	$18	7%	—	$215 – $288
21	Highmark facility · fee schedule · outpatient · +12 other terms	31	$274	$278	$236	85%	—	$16 – $1.1k
22	Amerihealth Caritas facility · fee schedule · outpatient · +10 other terms	27	$91	$156	$111	71%	—	$60 – $536
23	Medicare fee schedule · outpatient · +13 other terms	26	$48	$102	$89	87%	—	$42 – $307
24	Regence professional · fee schedule · outpatient · +16 other terms	21	$33	$43	$33	75%	—	$21 – $172
25	Medica fee schedule · outpatient · +16 other terms	19	$192	$191	$135	70%	—	$20 – $665

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