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New Jersey rates for HCPCS 77063

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

Facilitymedian $39 · 10th–90th $23–$1780%10%10th90th$39Professionalmedian $46 · 10th–90th $22–$1020%5%10%10th90th$46$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

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
$23.44 / $38.90 / $177.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $60.26 / $147.91
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.99 / $38.90 / $87.10
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$23.99 / $39.81 / $81.28
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.05 / $26.30 / $66.07
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $47.86 / $74.13
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.38 / $25.70 / $52.48
Ambetter
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$10.96 / $10.96 / $10.96
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$14.13 / $14.13 / $16.60
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $95.50 / $147.91
AmeriHealth
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $25.70 / $66.07
AmeriHealth
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.99 / $23.99 / $60.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $69.18 / $114.82
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.38 / $36.31 / $60.26
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.62 / $32.36 / $54.95
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $70.79 / $85.11
Emblem Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$27.54 / $38.02 / $44.67
Emblem Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.99 / $33.88 / $39.81
Horizon BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$27.54 / $27.54 / $27.54
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $47.86 / $104.71
Horizon BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$20.42 / $24.55 / $57.54
Horizon BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.20 / $22.39 / $51.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $64.57 / $104.71
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$20.89 / $35.48 / $60.26
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.62 / $30.20 / $50.12