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Arkansas rates for HCPCS 77062

Diagnostic digital breast tomosynthesis; bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $128.82 / $223.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $141.25 / $239.88
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $165.96 / $251.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $112.20 / $154.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $234.42 / $234.42
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $141.25 / $234.42
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $117.49 / $229.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $134.90 / $263.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $194.98 / $302.00
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $239.88 / $288.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $169.82 / $295.12