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Missouri rates for HCPCS 77062

Diagnostic digital breast tomosynthesis; bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.20 / $80.92 / $224.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.92 / $149.88 / $249.23
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $117.91 / $180.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.40 / $170.18 / $258.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.66 / $353.35 / $494.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.40 / $175.81 / $287.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.30 / $188.16 / $367.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.99 / $199.52 / $1,024.30
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.00 / $207.00 / $207.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.02 / $185.29 / $325.98