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Arizona rates for HCPCS 77063

Screening Digital Breast Tomosynthesis Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$32.58 / $55.15 / $107.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.43 / $56.26 / $214.17
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.23 / $29.50 / $80.78
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$47.78 / $169.20 / $285.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.80 / $25.32 / $61.80
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.34 / $45.89 / $237.00
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.63 / $27.17 / $64.89
Ambetter
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$8.58 / $10.42 / $51.88
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$17.03 / $17.03 / $17.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.02 / $40.02 / $54.72
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.14 / $21.88 / $29.68
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.88 / $18.14 / $22.68
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$32.40 / $32.40 / $32.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.34 / $67.64 / $108.01
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.37 / $35.94 / $58.76
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.97 / $30.54 / $49.25
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$67.28 / $128.65 / $128.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.94 / $65.45 / $334.42
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.29 / $35.44 / $182.49
Medica
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$38.06 / $156.49 / $157.94
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.88 / $30.02 / $151.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.94 / $61.99 / $113.05
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.60 / $33.75 / $57.73
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.62 / $27.96 / $46.15