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North Dakota rates for HCPCS 77063

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

Facilitymedian $30 · 10th–90th $29$490%50%10th90th$30Professionalmedian $52 · 10th–90th $24$1000%10%10th90th$52$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$28.84 / $30.20 / $48.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $66.07 / $125.89
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.12 / $44.67 / $75.86
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$13.80 / $38.02 / $66.07
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.95 / $33.88 / $66.07
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $120.23 / $134.90
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $66.07 / $72.44
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$41.69 / $56.23 / $61.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $81.28 / $138.04
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.18 / $42.66 / $74.13
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.44 / $37.15 / $61.66
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $97.72 / $331.13
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $56.23 / $75.86
Medica
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$67.61 / $67.61 / $67.61
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$26.92 / $47.86 / $151.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $91.20 / $141.25
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.88 / $54.95 / $95.50
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$26.92 / $41.69 / $100.00