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Idaho rates for HCPCS 77062

Diagnostic digital breast tomosynthesis; bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $79.43 / $380.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $154.88 / $331.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $93.33 / $234.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $97.72 / $97.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $354.81 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $229.09 / $302.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $169.82 / $269.15
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $162.18 / $389.05
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $165.96 / $363.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $77.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $165.96 / $251.19
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $302.00 / $338.84
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $154.88 / $181.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $190.55 / $309.03