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Florida rates for HCPCS 77063

Screening Digital Breast Tomosynthesis Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$19.60 / $21.16 / $92.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.14 / $52.20 / $108.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.60 / $28.00 / $73.34
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$36.68 / $62.31 / $220.80
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.55 / $23.57 / $43.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.57 / $40.25 / $80.98
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.05 / $27.17 / $51.24
Ambetter
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$7.91 / $10.29 / $36.03
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$17.25 / $20.42 / $42.99
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$32.40 / $32.40 / $86.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.57 / $59.57 / $103.77
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.51 / $33.36 / $58.99
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$16.05 / $27.17 / $49.20
Florida Blue
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$37.26 / $37.26 / $37.26
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.06 / $63.31 / $88.87
Florida Blue
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.39 / $34.85 / $48.91
Florida Blue
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$16.42 / $28.46 / $39.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.23 / $44.96 / $83.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.53 / $54.60 / $99.86
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.01 / $28.30 / $55.18
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.98 / $23.45 / $43.25
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.04 / $33.04 / $33.04
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.79 / $17.79 / $17.79
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.25 / $15.25 / $15.25