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Iowa rates for HCPCS 77063

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

Facilitymedian $38 · 10th–90th $25$720%20%40%10th90th$38Professionalmedian $56 · 10th–90th $25$1660%5%10%10th90th$56$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
$25.12 / $38.02 / $61.66
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $67.61 / $257.04
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $50.12 / $117.49
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$21.88 / $56.23 / $229.09
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.95 / $36.31 / $128.82
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$102.33 / $102.33 / $102.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $125.89 / $154.88
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $66.07 / $83.18
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.70 / $57.54 / $72.44
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $87.10 / $158.49
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.84 / $48.98 / $89.13
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.44 / $36.31 / $85.11
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $128.82 / $128.82
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $100.00 / $331.13
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $51.29 / $181.97
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.99 / $31.62 / $151.36
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $128.82 / $208.93
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $70.79 / $117.49
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$46.77 / $56.23 / $83.18
Midlands
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$102.33 / $102.33 / $102.33
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $128.82 / $208.93
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $70.79 / $117.49
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$46.77 / $66.07 / $93.33
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $45.71 / $89.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $77.62 / $141.25
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.90 / $48.98 / $95.50
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.99 / $34.67 / $95.50
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $97.72 / $114.82
Wellmark
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $52.48 / $61.66
Wellmark
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$44.67 / $44.67 / $52.48