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Delaware rates for HCPCS 77063

Screening Digital Breast Tomosynthesis Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$27.83 / $37.21 / $71.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.18 / $50.85 / $69.55
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.94 / $27.84 / $50.49
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$14.00 / $136.72 / $136.72
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.23 / $23.57 / $28.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.71 / $62.09 / $94.01
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.49 / $33.29 / $51.84
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.22 / $28.79 / $41.47
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.10 / $53.07 / $71.34
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.06 / $28.40 / $38.79
Highmark BCBS
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$35.68 / $35.68 / $35.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.87 / $67.83 / $124.94
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.23 / $33.70 / $67.06
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.11 / $29.66 / $55.78