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Idaho rates for HCPCS 77063

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

Facilitymedian $65 · 10th–90th $37$760%20%40%10th90th$65Professionalmedian $48 · 10th–90th $24$980%10%10th90th$48$20.0$50.0$100.0$200.0

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
$37.15 / $64.57 / $74.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $57.54 / $128.82
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $42.66 / $83.18
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$13.80 / $31.62 / $58.88
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.05 / $27.54 / $54.95
BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$48.98 / $48.98 / $48.98
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $97.72 / $131.83
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$45.71 / $53.70 / $72.44
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$37.15 / $43.65 / $58.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $81.28 / $125.89
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$29.51 / $44.67 / $61.66
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.12 / $38.02 / $56.23
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $204.17 / $204.17
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$112.20 / $125.89 / $125.89
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$77.62 / $77.62 / $112.20
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$41.69 / $72.44 / $89.13
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $97.72 / $144.54
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.18 / $52.48 / $77.62
Moda Health
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$13.80 / $31.62 / $58.88
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.12 / $44.67 / $64.57
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$48.98 / $48.98 / $48.98
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $107.15 / $128.82
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $57.54 / $69.18
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$39.81 / $48.98 / $56.23
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $47.86 / $100.00
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.92 / $26.92 / $58.88
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.38 / $24.55 / $44.67
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $61.66 / $100.00
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.90 / $34.67 / $61.66
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.70 / $28.84 / $47.86