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Arkansas rates for HCPCS 77061

Diagnostic digital breast tomosynthesis; unilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.71 / $80.26 / $182.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.59 / $148.72 / $211.18
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.00 / $131.38 / $195.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.72 / $87.72 / $95.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.88 / $186.88 / $186.88
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.08 / $100.75 / $154.34
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.39 / $85.82 / $142.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.21 / $105.97 / $223.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.02 / $189.39 / $255.58
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.00 / $92.00 / $224.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.60 / $184.01 / $245.89