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Illinois rates for HCPCS 77062

Digital Breast Tomosynthesis Bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.53 / $95.04 / $178.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.31 / $149.99 / $347.27
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.26 / $131.30 / $153.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$858.82 / $1,741.20 / $3,679.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.34 / $158.76 / $353.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.34 / $301.83 / $501.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.08 / $199.81 / $296.57
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.95 / $757.19 / $860.91
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $2,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.86 / $190.14 / $306.61