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South Carolina rates for HCPCS 77063

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

Facilitymedian $31 · 10th–90th $25$440%20%40%10th90th$31Professionalmedian $48 · 10th–90th $23$1070%5%10th90th$48$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
$24.55 / $30.90 / $43.65
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $61.66 / $147.91
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$24.55 / $44.67 / $104.71
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$14.13 / $42.66 / $63.10
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.05 / $25.70 / $60.26
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $39.81 / $57.54
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.38 / $21.88 / $26.92
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$17.38 / $17.38 / $30.20
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $54.95 / $75.86
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.92 / $30.90 / $42.66
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.38 / $25.12 / $36.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $69.18 / $109.65
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.90 / $38.02 / $60.26
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.99 / $30.20 / $51.29
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $64.57 / $104.71
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.18 / $36.31 / $61.66
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.91 / $28.18 / $47.86