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North Carolina rates for HCPCS 77062

Diagnostic digital breast tomosynthesis; bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.96 / $85.22 / $160.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.31 / $139.33 / $205.10
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.67 / $160.00 / $324.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.10 / $177.46 / $296.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.38 / $218.30 / $395.48
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.33 / $182.75 / $321.14
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.00 / $182.75 / $569.70
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$569.26 / $575.86 / $634.65
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.72 / $48.62 / $74.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.40 / $206.15 / $403.38
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$321.66 / $843.41 / $843.41
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,024.30 / $1,326.30 / $1,326.30