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New York rates for HCPCS 77063

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

Facilitymedian $35 · 10th–90th $22$950%20%10th90th$35Professionalmedian $50 · 10th–90th $25$1200%5%10th90th$50$5.0$20.0$100.0$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
$22.39 / $34.67 / $120.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $69.18 / $194.98
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $43.65 / $91.20
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$22.39 / $45.71 / $138.04
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.05 / $28.84 / $79.43
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $48.98 / $77.62
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.85 / $31.62 / $42.66
Ambetter
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$10.47 / $10.47 / $10.47
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.05 / $34.67 / $34.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $56.23 / $120.23
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$24.55 / $30.20 / $58.88
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.89 / $25.70 / $51.29
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $41.69 / $77.62
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$6.92 / $32.36 / $46.77
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $75.86 / $190.55
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.39 / $40.74 / $102.33
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.50 / $35.48 / $91.20
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $69.18 / $109.65
Emblem Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.18 / $39.81 / $57.54
Emblem Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.12 / $33.88 / $48.98
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $69.18 / $123.03
Excellus BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $38.02 / $67.61
Excellus BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.50 / $30.90 / $56.23
Fidelis
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.88 / $18.62 / $25.70
Fidelis
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$17.38 / $17.38 / $17.38
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $64.57 / $107.15
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.84 / $36.31 / $56.23
Highmark BCBS
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$28.18 / $34.67 / $57.54
Highmark BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$24.55 / $24.55 / $31.62
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $75.86 / $138.04
MVP Health Care
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.88 / $40.74 / $75.86
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$28.84 / $33.88 / $63.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $70.79 / $239.88
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$24.55 / $38.90 / $141.25
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.38 / $33.88 / $100.00
Univera
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$22.91 / $30.20 / $46.77
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $64.57 / $131.83
Univera
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.99 / $38.02 / $72.44
Univera
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.50 / $29.51 / $58.88