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Wyoming rates for HCPCS 77063

Screening Digital Breast Tomosynthesis Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$27.34 / $27.34 / $27.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.42 / $50.14 / $63.60
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.40 / $54.14 / $123.77
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$49.33 / $49.33 / $88.50
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$17.29 / $23.57 / $31.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.00 / $222.00 / $222.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$73.00 / $121.00 / $121.00
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$61.00 / $101.00 / $101.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.93 / $82.67 / $144.76
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.68 / $44.32 / $78.55
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$24.25 / $37.25 / $66.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.67 / $98.24 / $172.69
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.77 / $53.88 / $93.50
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.90 / $44.36 / $79.19