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Minnesota rates for HCPCS 77063

Screening Digital Breast Tomosynthesis Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$26.98 / $29.22 / $49.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.42 / $55.38 / $169.10
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.77 / $33.96 / $76.54
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$34.27 / $60.30 / $228.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.65 / $25.61 / $63.19
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$23.90 / $23.90 / $23.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.43 / $150.88 / $183.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.50 / $81.25 / $98.54
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$48.05 / $69.64 / $84.46
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$63.52 / $99.14 / $238.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.09 / $101.19 / $169.38
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.29 / $54.14 / $90.62
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.79 / $47.05 / $77.88
Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$55.05 / $90.47 / $187.79
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.68 / $94.20 / $160.85
Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.63 / $49.45 / $86.06
Health Partners
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$37.04 / $43.80 / $74.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.32 / $138.02 / $172.52
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.90 / $64.87 / $88.81
Medica
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$68.68 / $82.15 / $126.90
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$27.78 / $46.73 / $91.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.21 / $99.79 / $203.14
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.68 / $55.48 / $90.60
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.26 / $44.01 / $77.01