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Montana rates for HCPCS 77062

Diagnostic digital breast tomosynthesis; bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $85.11 / $147.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $162.18 / $407.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $66,069.34 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $251.19 / $251.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $251.19 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $177.83 / $380.19
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $275.42 / $416.87
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $275.42 / $416.87
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $204.17 / $338.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $229.09 / $363.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $190.55 / $288.40