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Alabama rates for HCPCS 77063

Screening Digital Breast Tomosynthesis Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$38.88 / $38.88 / $52.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.49 / $50.79 / $71.31
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.63 / $28.65 / $52.48
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$14.66 / $53.10 / $177.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$17.94 / $23.57 / $30.49
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $40.25 / $78.86
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.92 / $28.83 / $34.65
Ambetter
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$9.88 / $34.59 / $34.59
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$17.25 / $17.25 / $17.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.01 / $54.81 / $64.68
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.48 / $30.80 / $36.34
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$17.53 / $24.01 / $28.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.50 / $59.56 / $127.17
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.76 / $37.74 / $70.62
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.30 / $29.42 / $56.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.71 / $54.54 / $77.45
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.01 / $29.76 / $41.08
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.95 / $23.99 / $33.93