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Louisiana rates for HCPCS 77063

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

Facilitymedian $37 · 10th–90th $33$490%20%10th90th$37Professionalmedian $43 · 10th–90th $22$1070%5%10th90th$43$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
$33.11 / $37.15 / $48.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $61.66 / $144.54
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.44 / $37.15 / $87.10
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$24.55 / $42.66 / $81.28
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.05 / $25.70 / $69.18
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $37.15 / $48.98
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.30 / $26.92 / $33.88
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$15.49 / $15.49 / $15.49
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $52.48 / $58.88
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.91 / $29.51 / $33.11
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$17.78 / $22.91 / $25.70
Christus
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.92 / $30.20 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $54.95 / $104.71
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$20.42 / $30.90 / $57.54
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$15.14 / $24.55 / $50.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $56.23 / $87.10
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.99 / $30.90 / $45.71
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.20 / $25.12 / $37.15