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Illinois rates for HCPCS 77063

Screening Digital Breast Tomosynthesis Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$25.69 / $36.22 / $50.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.50 / $58.31 / $200.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.77 / $37.40 / $115.07
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$31.53 / $68.23 / $261.44
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.80 / $25.32 / $47.25
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.14 / $44.61 / $68.23
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.72 / $26.44 / $38.85
Ambetter
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$9.47 / $12.78 / $13.42
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.42 / $27.91 / $32.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.03 / $48.48 / $54.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.43 / $71.02 / $104.52
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.36 / $38.86 / $59.92
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.04 / $32.15 / $50.07
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.81 / $89.44 / $301.64
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.04 / $49.03 / $190.70
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.21 / $39.79 / $154.83
Hally Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.02 / $63.48 / $68.39
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.50 / $35.40 / $37.40
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$27.61 / $28.98 / $30.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.74 / $32.34 / $71.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.68 / $76.42 / $114.26
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.55 / $38.90 / $56.18
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$24.94 / $31.19 / $46.28