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Maine rates for HCPCS 77063

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

Facilitymedian $48 · 10th–90th $34$1070%20%10th90th$48Professionalmedian $42 · 10th–90th $21$850%5%10th90th$42$10.0$50.0$200.0$1.0K$5.0K

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
$33.88 / $47.86 / $107.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $60.26 / $131.83
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.99 / $33.88 / $72.44
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$13.80 / $40.74 / $81.28
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.95 / $27.54 / $60.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $64.57 / $107.15
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$24.55 / $33.88 / $58.88
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.89 / $28.18 / $47.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $70.79 / $131.83
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $39.81 / $81.28
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.91 / $33.11 / $58.88
Community Health Options
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $79.43 / $104.71
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $38.02 / $74.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$17.38 / $21.88 / $43.65
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$14.45 / $18.20 / $41.69
Martin's Point
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$33.11 / $33.88 / $3,890.45
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $64.57 / $123.03
Martin's Point
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.30 / $35.48 / $66.07
Martin's Point
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.39 / $28.84 / $54.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $74.13 / $151.36
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.62 / $40.74 / $95.50
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$15.14 / $30.90 / $85.11