It depends who wrote the specification.
HV CT windings are often specified for AC volts but DC current with two diodes and a cap-input filter. Rectification conversion is included in the spec. If this is the case, then it really means 340V 55mA total DC power.
OTOH, generic low-volt PTs are specified for AC load. The designer is expected to allow for rectification conversion.
> Wouldn't the mA output rating be the same 55mA on a PT whether it's 240-0-240 or 480 w/no CT?
No. The 2-diode plan is transformer abuse. Each half-winding is used only half the time. The consequences in sag and heat are complicated; that's maybe why these HV CT PTs are listed by DC current, not AC current as in most other PTs.
_IF_ you needed 680V DC and used a FWB (ignoring the CT)... well, first you must wonder if the CT area is insulated for 340V above the PT shell. If breakdown is not a problem, the nominal rating is the same total Power at twice the voltage, therefore half the current. 28mA. However now both windings are used on both half-cycles. Sag and loss are reduced. How much? Not sure. I'd call it at least 30mA, but nowhere near 55mA.
(I have thought about using "Bassman" iron to get 800V 100mA DC for a transmitter tube. Double voltage and half current. I think it would work. I think this is the easiest part of a hi-power freak SE amp.)