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West Virginia rates for HCPCS 77062

Diagnostic digital breast tomosynthesis; bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.09 / $998.01 / $1,072.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.31 / $143.72 / $151.74
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.73 / $137.82 / $214.64
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.17 / $157.66 / $319.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.09 / $177.46 / $336.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.91 / $192.95 / $740.59
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$498.30 / $498.30 / $498.30
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.19 / $259.19 / $286.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.06 / $173.79 / $303.56