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Alaska rates for HCPCS 77061

Diagnostic digital breast tomosynthesis; unilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.66 / $119.75 / $583.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.81 / $174.32 / $375.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.75 / $375.75 / $375.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.39 / $406.73 / $447.38
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.13 / $133.13 / $537.29
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.35 / $179.08 / $296.31
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.25 / $546.65 / $809.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.73 / $375.75 / $537.29
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.57 / $567.00 / $850.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.05 / $325.38 / $490.87