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Kentucky rates for HCPCS 77063

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

Facilitymedian $30 · 10th–90th $23$470%20%10th90th$30Professionalmedian $48 · 10th–90th $23$1120%5%10th90th$48$5.0$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
$27.54 / $28.84 / $43.65
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $67.61 / $173.78
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.12 / $43.65 / $89.13
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$25.70 / $53.70 / $218.78
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.05 / $28.18 / $57.54
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $38.90 / $70.79
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.38 / $28.84 / $36.31
Ambetter
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$9.55 / $9.55 / $17.78
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.62 / $22.91 / $27.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $58.88 / $75.86
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.20 / $33.88 / $43.65
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.12 / $26.30 / $33.11
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $32.36 / $61.66
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$6.92 / $32.36 / $46.77
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $77.62 / $245.47
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$24.55 / $43.65 / $131.83
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.89 / $35.48 / $112.20
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $32.36 / $42.66
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $63.10 / $95.50
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$27.54 / $34.67 / $54.95
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.38 / $27.54 / $41.69