go back

Arizona rates for HCPCS 77061

Diagnostic digital breast tomosynthesis; unilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.40 / $123.36 / $135.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.75 / $148.81 / $228.80
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $93.78 / $237.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.29 / $221.92 / $368.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.58 / $100.10 / $125.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.04 / $256.39 / $540.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.00 / $179.00 / $291.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.62 / $155.12 / $375.73
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.56 / $182.11 / $810.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.56 / $171.85 / $256.69