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New Mexico rates for HCPCS 77063

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

Facilitymedian $41 · 10th–90th $37$510%20%40%10th90th$41Professionalmedian $45 · 10th–90th $21$1480%5%10th90th$45$20.0$50.0$100.0$200.0$500.0

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
$37.15 / $40.74 / $51.29
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $57.54 / $218.78
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.91 / $37.15 / $114.82
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$27.54 / $181.97 / $302.00
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$16.98 / $25.70 / $134.90
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $34.67 / $61.66
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.88 / $33.88 / $33.88
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$15.49 / $15.49 / $15.49
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $36.31 / $69.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $69.18 / $97.72
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.44 / $38.02 / $53.70
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.50 / $30.90 / $42.66
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $60.26
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $81.28 / $120.23
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.99 / $38.02 / $53.70
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.95 / $32.36 / $42.66
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $64.57 / $114.82
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.90 / $35.48 / $85.11
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.70 / $29.51 / $53.70