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New Jersey rates for HCPCS 77063

Screening Digital Breast Tomosynthesis Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$23.50 / $23.50 / $167.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.96 / $53.46 / $111.63
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.47 / $28.13 / $78.56
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$24.00 / $28.12 / $285.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.17 / $23.70 / $45.38
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.34 / $45.08 / $76.89
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.51 / $26.70 / $47.98
Ambetter
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$7.91 / $8.58 / $34.59
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$31.31 / $31.31 / $40.46
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.60 / $83.30 / $156.00
AmeriHealth
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.13 / $46.23 / $96.00
AmeriHealth
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$34.06 / $60.00 / $129.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.71 / $68.84 / $112.68
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.86 / $36.11 / $59.73
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.22 / $32.54 / $54.44
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.01 / $71.61 / $97.37
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.10 / $37.49 / $51.25
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.34 / $34.13 / $46.12
Horizon BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$46.80 / $46.80 / $46.80
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.10 / $42.64 / $67.45
Horizon BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.60 / $24.24 / $43.16
Horizon BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.23 / $21.45 / $45.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.06 / $61.53 / $100.65
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.92 / $32.93 / $52.74
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.07 / $28.60 / $48.89