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Washington, DC rates for HCPCS 77063

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

Facilitymedian $62 · 10th–90th $25–$1820%20%10th90th$62Professionalmedian $49 · 10th–90th $22–$1070%5%10%10th90th$49$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$25.12 / $61.66 / $181.97
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $83.18 / $162.18
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.12 / $47.86 / $85.11
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$14.13 / $43.65 / $81.28
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.05 / $26.92 / $75.86
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $52.48 / $66.07
CareFirst
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.92 / $30.20 / $30.20
CareFirst
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.44 / $25.12 / $27.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $66.07 / $138.04
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.99 / $34.67 / $72.44
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.95 / $30.90 / $64.57
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $57.54 / $120.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $30.20 / $61.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.99 / $28.18 / $57.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $95.50 / $316.23
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.92 / $95.50 / $169.82
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.39 / $85.11 / $141.25