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Alaska rates for HCPCS 77062

Diagnostic digital breast tomosynthesis; bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.77 / $186.21 / $588.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $186.21 / $489.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $478.63 / $478.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $512.86 / $575.44
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $208.93 / $588.84
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $208.93 / $588.84
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $645.65 / $1,023.29
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $181.97 / $478.63
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $229.09 / $512.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $407.38 / $616.60