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Kansas rates for HCPCS 77063

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

Facilitymedian $42 · 10th–90th $30–$650%20%10th90th$42Professionalmedian $42 · 10th–90th $22–$830%5%10th90th$42$10.0$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
$30.20 / $41.69 / $64.57
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $57.54 / $91.20
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.99 / $38.90 / $79.43
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$14.13 / $43.65 / $58.88
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.05 / $25.70 / $54.95
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $39.81 / $87.10
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.20 / $21.38 / $30.20
Ambetter
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$9.55 / $9.55 / $9.55
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$15.49 / $18.20 / $28.18
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $64.57
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $66.07 / $97.72
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.99 / $37.15 / $57.54
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.50 / $30.90 / $46.77
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$67.61 / $67.61 / $128.82
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $67.61 / $331.13
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.20 / $37.15 / $181.97
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.99 / $30.20 / $151.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $66.07 / $95.50
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.20 / $36.31 / $57.54
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.99 / $28.84 / $44.67