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Montana rates for HCPCS 77062

Digital Breast Tomosynthesis Bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.30 / $100.80 / $911.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.31 / $131.34 / $473.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$731.77 / $77,999.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.28 / $250.28 / $250.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.20 / $264.32 / $385.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.40 / $181.78 / $370.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.99 / $246.24 / $385.71
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.66 / $217.69 / $256.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.83 / $188.97 / $301.69