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Maine rates for HCPCS 77063

Screening Digital Breast Tomosynthesis Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$33.96 / $34.50 / $102.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.14 / $57.78 / $85.80
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.57 / $30.10 / $44.08
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$33.40 / $47.78 / $84.29
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.71 / $26.63 / $41.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.85 / $64.79 / $99.19
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.57 / $35.71 / $53.40
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.27 / $29.06 / $45.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.30 / $72.48 / $118.74
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.21 / $44.92 / $66.98
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.57 / $33.84 / $55.30
Community Health Options
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.94 / $84.80 / $105.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.41 / $39.01 / $70.68
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.72 / $20.79 / $38.47
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$14.84 / $18.10 / $32.21
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$33.96 / $39.81 / $102.94
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.00 / $62.31 / $113.09
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.85 / $33.96 / $62.79
Martin's Point
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$33.40 / $47.78 / $84.29
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.57 / $28.35 / $50.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.94 / $78.31 / $138.54
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.59 / $42.63 / $70.72
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.99 / $33.90 / $59.01