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Montana rates for HCPCS 77061

Diagnostic digital breast tomosynthesis; unilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $75.86 / $537.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $141.25 / $371.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $66,069.34 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $199.53 / $199.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $199.53 / $588.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $199.53 / $316.23
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $218.78 / $323.59
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $218.78 / $323.59
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $162.18 / $269.15
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $199.53 / $295.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $173.78 / $239.88