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Utah rates for HCPCS 77061

Diagnostic digital breast tomosynthesis; unilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $93.33 / $131.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $141.25 / $457.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $107.15 / $338.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $190.55 / $275.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $44.67 / $141.25
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $112.20 / $165.96
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $234.42 / $323.59
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $134.90 / $177.83
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $128.82 / $199.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $162.18 / $229.09