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Nebraska rates for HCPCS 77063

Screening Digital Breast Tomosynthesis Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$27.50 / $63.54 / $246.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.78 / $78.00 / $220.59
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.50 / $61.90 / $117.36
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$27.50 / $56.80 / $228.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.28 / $47.11 / $141.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.45 / $53.30 / $95.16
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.17 / $51.15 / $63.91
Ambetter
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$10.31 / $28.98 / $28.98
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$42.72 / $44.22 / $44.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.04 / $97.31 / $103.04
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.93 / $53.38 / $56.92
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$41.11 / $43.96 / $45.63
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$157.50 / $157.50 / $157.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.21 / $112.72 / $152.22
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.10 / $63.13 / $81.45
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$27.22 / $51.24 / $70.78
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$128.65 / $128.65 / $128.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.77 / $100.80 / $150.77
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.92 / $55.48 / $72.93
Medica
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$48.80 / $48.80 / $48.80
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$29.85 / $44.77 / $151.88
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$99.31 / $102.21 / $157.50
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.29 / $112.72 / $177.73
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.83 / $44.02 / $87.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.56 / $100.45 / $129.63
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.01 / $55.48 / $72.93
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$29.85 / $44.45 / $56.34