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Texas rates for HCPCS 77063

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$18.62 / $23.99 / $123.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $58.88 / $177.83
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.91 / $38.02 / $97.72
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$23.99 / $47.86 / $229.09
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$17.38 / $25.70 / $69.18
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $42.66 / $75.86
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.38 / $26.92 / $46.77
Ambetter
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$9.77 / $10.96 / $21.38
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.49 / $21.38 / $32.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $40.74 / $61.66
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $69.18 / $95.50
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.92 / $30.20 / $30.20
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$6.92 / $32.36 / $46.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $60.26 / $112.20
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.99 / $33.11 / $63.10
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.05 / $28.18 / $53.70
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$181.97 / $181.97 / $181.97
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $331.13 / $436.52
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$181.97 / $229.09 / $229.09
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$151.36 / $204.17 / $204.17
Moda Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$18.62 / $23.99 / $40.74
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $61.66 / $147.91
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.91 / $36.31 / $89.13
Moda Health
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$25.12 / $53.70 / $229.09
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.20 / $28.18 / $61.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $32.36 / $44.67
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $47.86 / $93.33
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$6.92 / $32.36 / $46.77
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $58.88 / $123.03
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.99 / $30.90 / $53.70
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.05 / $25.70 / $44.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $61.66 / $93.33
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.55 / $33.88 / $50.12
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.89 / $27.54 / $41.69
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $51.29 / $61.66
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.92 / $28.18 / $33.88
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.39 / $23.44 / $27.54