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Nebraska rates for HCPCS 77062

Diagnostic digital breast tomosynthesis; bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.95 / $98.00 / $232.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.29 / $148.51 / $188.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.03 / $150.00 / $150.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.68 / $240.80 / $452.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.88 / $288.48 / $302.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$285.00 / $285.00 / $865.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.44 / $338.03 / $376.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.43 / $157.29 / $317.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.11 / $285.44 / $1,024.30
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.13 / $340.50 / $537.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.38 / $340.50 / $537.78
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.85 / $49.41 / $74.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.46 / $304.60 / $387.90