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Maryland rates for HCPCS 77063

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

Facilitymedian $30 · 10th–90th $25$340%50%10th90th$30Professionalmedian $56 · 10th–90th $25$1380%10%10th90th$56$0.0$0.1$0.5$2.0$10.0$50.0$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
$25.12 / $29.51 / $33.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $77.62 / $204.17
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.30 / $57.54 / $100.00
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$22.39 / $52.48 / $218.78
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.95 / $36.31 / $125.89
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $52.48 / $66.07
CareFirst
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.92 / $30.20 / $35.48
CareFirst
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.44 / $25.12 / $31.62
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$46.77 / $46.77 / $46.77
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $61.66 / $104.71
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.88 / $33.11 / $60.26
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.05 / $28.84 / $52.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $60.26 / $81.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.18 / $31.62 / $43.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.12 / $28.18 / $38.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $63.10 / $112.20
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.91 / $33.88 / $69.18
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.89 / $29.51 / $54.95
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $57.54 / $83.18
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $30.20 / $43.65
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.39 / $27.54 / $39.81