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Michigan rates for HCPCS 77063

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

Facilitymedian $35 · 10th–90th $35$460%50%90th$35Professionalmedian $52 · 10th–90th $25$1450%5%10th90th$52$10.0$20.0$50.0$100.0$200.0$500.0

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
$34.67 / $34.67 / $45.71
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $72.44 / $208.93
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.30 / $44.67 / $114.82
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$14.13 / $47.86 / $229.09
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.95 / $29.51 / $104.71
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $43.65 / $74.13
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.39 / $29.51 / $50.12
Ambetter
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$10.00 / $10.00 / $21.88
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$17.78 / $21.38 / $38.90
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $77.62 / $83.18
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$45.71 / $45.71 / $45.71
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$38.02 / $38.02 / $38.02
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $37.15 / $67.61
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $64.57 / $138.04
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.91 / $38.02 / $74.13
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.05 / $31.62 / $66.07
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$34.67 / $34.67 / $61.66
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $64.57 / $147.91
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $39.81 / $95.50
Health Alliance Plan
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$22.39 / $45.71 / $229.09
Health Alliance Plan
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.95 / $28.18 / $67.61
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $58.88 / $104.71
Priority Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.44 / $34.67 / $58.88
Priority Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.95 / $27.54 / $51.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $70.79 / $316.23
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$27.54 / $38.02 / $144.54
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.91 / $29.51 / $95.50