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Missouri rates for HCPCS 77061

Diagnostic digital breast tomosynthesis; unilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $72.36 / $178.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.75 / $130.06 / $258.25
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.00 / $93.64 / $104.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.68 / $148.47 / $291.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.35 / $276.16 / $386.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.02 / $174.06 / $258.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.92 / $175.57 / $297.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.07 / $188.04 / $810.58
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.00 / $92.00 / $92.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.07 / $167.85 / $272.74