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Indiana rates for HCPCS 77063

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

Facilitymedian $34 · 10th–90th $27$430%10%20%10th90th$34Professionalmedian $49 · 10th–90th $24$1070%5%10%10th90th$49$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
$26.92 / $33.88 / $42.66
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $75.86 / $162.18
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.12 / $45.71 / $87.10
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$26.30 / $51.29 / $97.72
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.95 / $32.36 / $64.57
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $41.69 / $75.86
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.38 / $24.55 / $44.67
Ambetter
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$9.55 / $17.78 / $23.99
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.89 / $28.84 / $37.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $58.88 / $91.20
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.20 / $33.88 / $51.29
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.99 / $25.70 / $40.74
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $33.88 / $64.57
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $66.07 / $112.20
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.99 / $37.15 / $60.26
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.50 / $30.90 / $51.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $63.10 / $107.15
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.30 / $35.48 / $79.43
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.38 / $28.18 / $48.98