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Maine rates for HCPCS 77062

Digital Breast Tomosynthesis Bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.05 / $98.76 / $233.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.31 / $132.44 / $191.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.13 / $519.54 / $852.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.21 / $214.89 / $269.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.32 / $216.47 / $373.83
Community Health Options
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.75 / $318.75 / $318.75
Community Health Options
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.40 / $64.40 / $64.40
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.36 / $274.80 / $495.72
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.15 / $99.45 / $269.89
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.31 / $191.87 / $277.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.47 / $232.30 / $399.45