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Arkansas rates for HCPCS 77063

Screening Digital Breast Tomosynthesis Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$37.74 / $37.74 / $56.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.61 / $66.62 / $134.72
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.41 / $36.57 / $65.23
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.77 / $28.87 / $45.38
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.36 / $76.17 / $76.17
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.22 / $41.24 / $42.06
Ambetter
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$76.17 / $76.17 / $76.17
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$34.94 / $34.94 / $34.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.73 / $76.73 / $76.73
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.74 / $43.74 / $43.74
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$33.00 / $33.00 / $33.00
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.47 / $33.04 / $59.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.17 / $72.63 / $98.75
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.36 / $40.82 / $56.08
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.02 / $31.59 / $42.66
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.98 / $87.60 / $87.60
Qualchoice
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.43 / $47.43 / $48.99
Qualchoice
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$40.18 / $40.18 / $40.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.74 / $71.87 / $99.72
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.59 / $41.01 / $56.64
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.98 / $30.38 / $43.08