go back

Oklahoma rates for HCPCS 77063

Screening Digital Breast Tomosynthesis Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$23.41 / $32.29 / $43.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.14 / $49.21 / $58.31
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.60 / $27.37 / $30.44
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$24.95 / $24.95 / $30.60
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.55 / $21.83 / $27.86
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.83 / $37.83 / $76.17
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.23 / $26.54 / $65.55
Ambetter
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$52.37 / $52.37 / $52.37
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.98 / $26.98 / $34.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.05 / $51.45 / $70.65
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$45.44 / $45.44 / $45.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.00 / $50.62 / $77.40
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.80 / $28.15 / $42.84
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.03 / $21.46 / $34.54
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$67.28 / $128.65 / $128.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.67 / $63.84 / $334.42
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.08 / $34.86 / $182.49
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.47 / $27.92 / $151.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.55 / $57.40 / $83.91
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.08 / $33.72 / $52.43
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.47 / $25.26 / $37.11