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Louisiana rates for HCPCS 77063

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$29.94 / $37.18 / $48.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.54 / $59.53 / $91.54
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.10 / $33.45 / $50.50
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$19.47 / $55.06 / $231.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.77 / $26.19 / $41.71
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.08 / $47.15 / $53.49
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.22 / $26.63 / $52.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.97 / $53.72 / $62.68
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.52 / $30.31 / $35.36
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$9.44 / $23.41 / $27.31
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.97 / $27.40 / $29.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.35 / $55.80 / $94.30
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.71 / $31.16 / $54.04
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$13.64 / $23.28 / $41.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.85 / $58.02 / $97.58
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.81 / $31.35 / $54.19
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.04 / $25.26 / $38.31