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Michigan rates for HCPCS 77062

Digital Breast Tomosynthesis Bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.20 / $37.00 / $179.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.31 / $147.59 / $215.46
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.91 / $130.44 / $153.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.75 / $79.98 / $139.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.20 / $88.05 / $125.88
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.81 / $115.01 / $194.32
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.27 / $128.44 / $202.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.46 / $177.46 / $177.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.57 / $167.00 / $344.75
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.33 / $96.38 / $193.75
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.38 / $160.53 / $226.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $50.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.42 / $171.79 / $257.69