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Ohio rates for HCPCS 77063

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

Facilitymedian $37 · 10th–90th $28$980%20%10th90th$37Professionalmedian $47 · 10th–90th $23$1000%10%10th90th$47$0.2$1.0$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
$27.54 / $37.15 / $97.72
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $75.86 / $128.82
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.30 / $43.65 / $87.10
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$13.80 / $43.65 / $81.28
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.05 / $28.18 / $63.10
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $40.74 / $66.07
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.88 / $29.51 / $44.67
Ambetter
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$10.00 / $13.49 / $35.48
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$15.14 / $20.89 / $33.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $67.61 / $112.20
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.20 / $38.02 / $61.66
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.44 / $29.51 / $48.98
Aultcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $63.10 / $97.72
Aultcare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$31.62 / $50.12 / $54.95
Aultcare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.12 / $27.54 / $42.66
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $36.31 / $72.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $69.18 / $117.49
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $38.02 / $66.07
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.42 / $30.90 / $53.70
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$6.92 / $32.36 / $46.77
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $63.10 / $107.15
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $34.67 / $54.95
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$22.39 / $45.71 / $74.13
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.95 / $29.51 / $48.98
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $32.36 / $33.11
SummaCare
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$32.36 / $44.67 / $70.79
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $64.57 / $112.20
SummaCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.18 / $36.31 / $63.10
SummaCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.39 / $28.84 / $48.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $61.66 / $109.65
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.12 / $34.67 / $79.43
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.95 / $27.54 / $52.48