go back

Vermont rates for HCPCS 77063

Screening Digital Breast Tomosynthesis Bi

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.14 / $58.31 / $58.60
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.57 / $30.44 / $31.59
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.57 / $27.02 / $27.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.22 / $65.11 / $223.49
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.53 / $120.57 / $120.57
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$29.88 / $29.88 / $29.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.02 / $76.45 / $223.49
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.56 / $41.27 / $120.57
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$33.45 / $35.29 / $64.81
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.02 / $76.45 / $223.49
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.56 / $41.17 / $120.57
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$33.46 / $35.02 / $56.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.62 / $80.77 / $209.06
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.75 / $46.10 / $128.25
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$27.78 / $36.81 / $109.49