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Nebraska rates for HCPCS 77063

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

Facilitymedian $59 · 10th–90th $35$1780%10%10th90th$59Professionalmedian $58 · 10th–90th $26$1450%10%10th90th$58$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
$35.48 / $58.88 / $177.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $75.86 / $208.93
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.30 / $61.66 / $95.50
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$26.30 / $56.23 / $229.09
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.95 / $43.65 / $134.90
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $53.70 / $120.23
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.38 / $48.98 / $60.26
Ambetter
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$23.99 / $23.99 / $30.20
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.20 / $43.65 / $54.95
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $95.50 / $102.33
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $52.48 / $57.54
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$40.74 / $43.65 / $45.71
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$158.49 / $158.49 / $158.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $112.20 / $154.88
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $64.57 / $83.18
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$24.55 / $51.29 / $72.44
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$128.82 / $128.82 / $128.82
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $95.50 / $128.82
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $54.95 / $69.18
Medica
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$48.98 / $48.98 / $48.98
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$27.54 / $38.90 / $151.36
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $112.20 / $177.83
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $63.10 / $95.50
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$44.67 / $51.29 / $81.28
Midlands
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$158.49 / $158.49 / $158.49
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $117.49 / $177.83
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $64.57 / $95.50
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$44.67 / $53.70 / $81.28
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $45.71 / $89.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $89.13 / $131.83
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.88 / $50.12 / $79.43
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$27.54 / $38.90 / $69.18