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Idaho rates for HCPCS 77063

Screening Digital Breast Tomosynthesis Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$41.70 / $72.68 / $76.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.14 / $58.53 / $107.39
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.57 / $32.58 / $64.84
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$33.40 / $49.30 / $84.29
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.57 / $27.86 / $46.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.90 / $86.00 / $101.18
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.94 / $48.02 / $56.50
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.96 / $37.97 / $44.68
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.60 / $110.60 / $203.11
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$111.21 / $111.21 / $126.11
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$77.00 / $77.00 / $111.21
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.79 / $96.48 / $125.45
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.36 / $52.23 / $54.98
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$38.43 / $40.76 / $46.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $41.24 / $92.55
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$49.41 / $49.41 / $49.41
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.83 / $106.86 / $125.45
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.91 / $57.54 / $70.09
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$41.92 / $49.32 / $55.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.78 / $72.00 / $106.76
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.82 / $33.75 / $57.81
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.60 / $27.78 / $47.59