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Oklahoma rates for HCPCS 77063

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

Facilitymedian $32 · 10th–90th $23$450%20%10th90th$32Professionalmedian $43 · 10th–90th $23$850%5%10%10th90th$43$10.0$20.0$50.0$100.0$200.0

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
$22.91 / $32.36 / $43.65
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $63.10 / $107.15
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.99 / $38.90 / $77.62
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$13.80 / $43.65 / $85.11
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$17.38 / $25.12 / $51.29
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $38.02 / $47.86
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.38 / $26.92 / $36.31
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$26.92 / $26.92 / $28.18
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $51.29 / $70.79
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$45.71 / $45.71 / $45.71
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $53.70 / $79.43
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.44 / $29.51 / $46.77
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.62 / $22.39 / $38.90
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$67.61 / $128.82 / $128.82
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $61.66 / $331.13
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.30 / $33.88 / $181.97
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.38 / $27.54 / $151.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $57.54 / $95.50
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.30 / $33.11 / $79.43
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.89 / $25.12 / $39.81