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Colorado rates for HCPCS 77063

Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$29.51 / $37.15 / $75.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $58.88 / $147.91
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.70 / $43.65 / $95.50
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$23.99 / $43.65 / $134.90
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.95 / $25.70 / $58.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $70.79 / $107.15
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.51 / $38.90 / $57.54
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.12 / $33.88 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $66.07 / $123.03
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.70 / $36.31 / $67.61
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.89 / $30.20 / $56.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $87.10 / $302.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.81 / $43.65 / $162.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$35.48 / $38.90 / $138.04
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $52.48 / $81.28
Select Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.54 / $28.18 / $44.67
Select Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.39 / $25.12 / $36.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $74.13 / $120.23
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.90 / $39.81 / $66.07
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.12 / $33.88 / $54.95