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West Virginia rates for HCPCS 77063

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

Facilitymedian $28 · 10th–90th $28$320%50%90th$28Professionalmedian $50 · 10th–90th $24$1050%10%20%10th90th$50$5.0$10.0$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
$28.18 / $28.18 / $30.90
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $72.44 / $109.65
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $58.88 / $63.10
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$24.55 / $56.23 / $63.10
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.95 / $27.54 / $48.98
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $51.29 / $112.20
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
$40.74 / $74.13 / $245.47
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.91 / $40.74 / $131.83
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.20 / $33.11 / $112.20
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $47.86 / $138.04
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$43.65 / $47.86 / $74.13
Highmark BCBS
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$39.81 / $39.81 / $39.81
Highmark BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.95 / $40.74 / $43.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $64.57 / $107.15
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.88 / $37.15 / $70.79
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.05 / $30.20 / $51.29