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Oregon rates for HCPCS 77063

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

Facilitymedian $62 · 10th–90th $40$1170%20%10th90th$62Professionalmedian $58 · 10th–90th $25$1410%5%10%10th90th$58$5.0$10.0$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
$39.81 / $64.57 / $117.49
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $72.44 / $218.78
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $54.95 / $97.72
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$14.45 / $61.66 / $229.09
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.05 / $33.88 / $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
$58.88 / $100.00 / $151.36
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $52.48 / $81.28
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$27.54 / $46.77 / $69.18
HealthNet
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $436.52 / $457.09
HealthNet
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$151.36 / $162.18 / $186.21
HealthNet
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$309.03 / $309.03 / $309.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $112.20 / $141.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $61.66 / $72.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$47.86 / $53.70 / $66.07
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$39.81 / $57.54 / $117.49
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $104.71 / $165.96
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$29.51 / $60.26 / $89.13
Moda Health
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$23.99 / $63.10 / $229.09
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.70 / $50.12 / $70.79
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $39.81 / $60.26
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $109.65 / $151.36
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $58.88 / $81.28
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$34.67 / $51.29 / $70.79
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$64.57 / $64.57 / $64.57
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $112.20 / $147.91
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $61.66 / $81.28
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$43.65 / $51.29 / $69.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $75.86 / $144.54
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.90 / $41.69 / $79.43
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.12 / $35.48 / $72.44