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Kansas rates for HCPCS 77063

Screening Digital Breast Tomosynthesis Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$28.96 / $36.36 / $64.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.14 / $53.00 / $78.58
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.57 / $32.77 / $46.99
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$28.60 / $48.88 / $58.49
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.13 / $23.57 / $33.11
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.97 / $39.36 / $87.84
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.10 / $21.69 / $30.34
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$17.94 / $27.43 / $27.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.30 / $64.30 / $64.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.99 / $74.26 / $96.77
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.68 / $41.17 / $53.80
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.57 / $33.99 / $42.96
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$67.28 / $67.28 / $128.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.65 / $67.16 / $334.42
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.68 / $36.72 / $182.49
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$24.94 / $30.05 / $151.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.56 / $66.66 / $93.95
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.33 / $36.61 / $52.16
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$24.23 / $29.11 / $42.94