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Rhode Island rates for HCPCS 77063

Screening Digital Breast Tomosynthesis Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$181.53 / $181.53 / $181.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.96 / $53.01 / $126.71
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.14 / $28.05 / $65.23
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$14.90 / $125.38 / $250.75
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.82 / $23.57 / $29.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.63 / $75.84 / $109.37
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.53 / $40.76 / $58.70
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$24.56 / $35.09 / $35.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.08 / $78.52 / $113.47
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.76 / $42.87 / $60.75
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.21 / $35.64 / $52.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.80 / $69.68 / $139.47
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.41 / $37.88 / $60.14
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.18 / $31.80 / $57.38