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Wisconsin rates for HCPCS 77062

Digital Breast Tomosynthesis Bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.70 / $332.47 / $972.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.96 / $166.71 / $332.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.00 / $196.88 / $426.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.21 / $317.16 / $982.83
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.72 / $128.44 / $194.32
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.45 / $133.38 / $215.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.70 / $246.25 / $323.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.99 / $586.51 / $711.43
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.16 / $179.55 / $316.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.47 / $176.66 / $317.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.79 / $372.80 / $1,024.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $96.85 / $349.90
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.16 / $176.66 / $310.54
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.79 / $374.68 / $539.41
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.03 / $719.08 / $719.08
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.99 / $817.55 / $1,024.30
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$285.58 / $376.29 / $421.28
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.63 / $52.50 / $64.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.19 / $277.56 / $629.51