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North Carolina rates for HCPCS 77063

Screening Digital Breast Tomosynthesis Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$26.07 / $27.82 / $76.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.30 / $57.49 / $176.40
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.75 / $30.44 / $101.05
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$40.29 / $84.29 / $285.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.23 / $23.70 / $65.69
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.57 / $97.13 / $131.00
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.31 / $44.58 / $59.94
Ambetter
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$9.47 / $12.05 / $27.12
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$17.25 / $29.76 / $32.40
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.86 / $63.36 / $85.54
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$38.26 / $47.82 / $68.38
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$32.40 / $32.40 / $32.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.33 / $84.28 / $146.50
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.86 / $46.71 / $81.99
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$24.47 / $37.57 / $64.52
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$44.09 / $44.38 / $81.37
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.00 / $38.00 / $70.00
Medcost
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.38 / $44.38 / $106.57
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.41 / $43.81 / $87.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.27 / $84.85 / $144.22
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.15 / $44.62 / $77.81
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.49 / $36.40 / $62.80
Wellcare
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$67.28 / $139.60 / $139.60
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.42 / $432.98 / $432.98
Wellcare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$182.49 / $229.28 / $229.28
Wellcare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$151.88 / $203.70 / $203.70