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Hawaii rates for HCPCS 77062

Digital Breast Tomosynthesis Bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.04 / $112.04 / $157.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.31 / $140.91 / $582.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.46 / $177.46 / $177.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.72 / $146.97 / $216.47
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.60 / $211.99 / $296.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.63 / $272.45 / $285.69
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.78 / $31.50 / $45.68