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Indiana rates for HCPCS 77063

Screening Digital Breast Tomosynthesis Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$26.66 / $30.39 / $36.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.50 / $50.45 / $99.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.22 / $28.38 / $68.08
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$26.44 / $94.14 / $101.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.80 / $22.68 / $45.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.33 / $40.89 / $76.66
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.15 / $21.80 / $39.65
Ambetter
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$9.47 / $10.29 / $13.42
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.85 / $32.21 / $32.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.82 / $59.31 / $79.70
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.13 / $33.53 / $44.19
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.69 / $25.78 / $35.52
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.54 / $32.21 / $62.28
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$32.40 / $32.40 / $32.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.03 / $65.83 / $112.42
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.90 / $35.67 / $61.40
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.24 / $29.71 / $50.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.70 / $62.81 / $99.41
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.33 / $34.90 / $54.88
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.98 / $27.99 / $43.66