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Hawaii rates for HCPCS 77063

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

Facilitymedian $32 · 10th–90th $28$380%20%40%10th90th$32Professionalmedian $50 · 10th–90th $23$1550%5%10th90th$50$10.0$20.0$50.0$100.0$200.0$500.0

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
$28.18 / $32.36 / $38.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $63.10 / $177.83
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.99 / $40.74 / $151.36
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$23.99 / $77.62 / $281.84
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.05 / $26.92 / $72.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $69.18 / $95.50
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.44 / $36.31 / $53.70
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.89 / $33.11 / $42.66
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $48.98 / $74.13
HMSA
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$37.15 / $37.15 / $38.90
HMSA
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$33.88 / $33.88 / $35.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $66.07 / $77.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.90 / $33.88 / $39.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$29.51 / $31.62 / $37.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $85.11 / $426.58
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $57.54 / $186.21
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$28.18 / $37.15 / $85.11
University Health Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $85.11 / $138.04
University Health Alliance
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$36.31 / $44.67 / $72.44
University Health Alliance
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$33.88 / $40.74 / $67.61