go back

Maine rates for HCPCS 77061

Diagnostic digital breast tomosynthesis; unilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $95.50 / $257.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $131.83 / $302.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $660.69 / $660.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $120.23 / $251.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $199.53 / $346.74
Community Health Options
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $204.17 / $204.17
Community Health Options
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $229.09 / $426.58
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $97.72 / $263.03
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $151.36 / $288.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $186.21 / $354.81