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Ohio rates for HCPCS 77062

Diagnostic digital breast tomosynthesis; bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.29 / $84.00 / $268.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.31 / $147.59 / $290.75
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.00 / $121.63 / $124.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.00 / $294.00 / $351.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.54 / $123.68 / $212.34
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.72 / $118.56 / $193.17
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.72 / $128.44 / $213.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.46 / $250.78 / $553.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.91 / $177.59 / $320.51
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.17 / $63.10 / $277.60
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.60 / $176.50 / $320.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $60.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.56 / $173.39 / $326.39