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Missouri rates for HCPCS 77063

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

Facilitymedian $35 · 10th–90th $28$660%20%10th90th$35Professionalmedian $50 · 10th–90th $24$1150%5%10th90th$50$5.0$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
$27.54 / $34.67 / $64.57
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $63.10 / $186.21
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.12 / $46.77 / $89.13
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$25.70 / $45.71 / $186.21
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.05 / $28.84 / $72.44
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $39.81 / $81.28
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.38 / $30.90 / $46.77
Ambetter
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$9.55 / $10.00 / $87.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $61.66 / $100.00
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$29.51 / $34.67 / $54.95
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.88 / $26.92 / $44.67
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $56.23 / $75.86
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.20 / $30.90 / $41.69
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.91 / $25.12 / $34.67
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$6.92 / $32.36 / $46.77
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $69.18 / $114.82
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$24.55 / $38.90 / $72.44
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.42 / $30.90 / $51.29
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$67.61 / $128.82 / $128.82
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $70.79 / $331.13
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.20 / $39.81 / $181.97
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.88 / $31.62 / $151.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $66.07 / $112.20
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.84 / $37.15 / $85.11
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.91 / $29.51 / $56.23