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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
$25.71 / $119.63 / $231.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.31 / $154.52 / $203.21
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.58 / $180.00 / $250.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.86 / $111.86 / $121.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.65 / $236.65 / $236.65
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.29 / $128.33 / $194.32
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.04 / $109.32 / $179.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.85 / $135.83 / $197.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.49 / $195.98 / $292.16
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.57 / $207.00 / $287.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.27 / $182.30 / $292.66