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Georgia 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
$25.12 / $43.65 / $128.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $69.18 / $199.53
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.12 / $48.98 / $107.15
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$14.13 / $50.12 / $177.83
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.05 / $28.18 / $63.10
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $43.65 / $87.10
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.88 / $29.51 / $48.98
Ambetter
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$10.96 / $34.67 / $87.10
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.85 / $20.42 / $31.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $64.57 / $104.71
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.84 / $35.48 / $56.23
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.44 / $28.18 / $46.77
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $33.11 / $64.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $77.62 / $134.90
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.55 / $42.66 / $75.86
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.38 / $35.48 / $60.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $63.10 / $186.21
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.18 / $36.31 / $102.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$46.77 / $46.77 / $66.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.99 / $29.51 / $85.11
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $45.71 / $85.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $70.79 / $117.49
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.18 / $38.90 / $64.57
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.91 / $32.36 / $53.70