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Montana rates for HCPCS 77063

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

Facilitymedian $55 · 10th–90th $45$2240%20%10th90th$55Professionalmedian $58 · 10th–90th $26$1480%5%10%10th90th$58$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$48.98 / $223.87 / $223.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $85.11 / $208.93
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.92 / $58.88 / $123.03
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$14.45 / $56.23 / $281.84
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.44 / $37.15 / $120.23
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $81.28 / $81.28
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$44.67 / $44.67 / $54.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $81.28 / $128.82
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$24.55 / $44.67 / $72.44
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.89 / $38.02 / $56.23
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $89.13 / $100.00
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$44.67 / $44.67 / $54.95
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $114.82 / $141.25
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.20 / $44.67 / $64.57
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$24.55 / $38.02 / $54.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $63.10 / $100.00
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.11 / $34.67 / $85.11
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$27.54 / $29.51 / $60.26