go back

Utah rates for HCPCS 77062

Diagnostic digital breast tomosynthesis; bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $93.33 / $134.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $158.49 / $549.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $134.90 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $181.97 / $323.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $44.67 / $173.78
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $144.54 / $213.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $263.03 / $338.84
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $173.78 / $229.09
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $165.96 / $251.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $181.97 / $281.84