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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
$58.90 / $257.51 / $765.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.00 / $158.47 / $474.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.03 / $77,999.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.70 / $197.70 / $197.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.18 / $207.33 / $302.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.94 / $197.70 / $297.04
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.26 / $193.15 / $302.55
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.64 / $182.47 / $267.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.57 / $186.18 / $239.58