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Wyoming rates for HCPCS 77063

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

Facilitymedian $28 · 10th–90th $28$280%50%100%$28Professionalmedian $54 · 10th–90th $26$1120%10%10th90th$54$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$27.54 / $27.54 / $27.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $81.28 / $123.03
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $51.29 / $107.15
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$25.70 / $25.70 / $89.13
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.39 / $34.67 / $54.95
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $208.93 / $208.93
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$72.44 / $112.20 / $112.20
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$61.66 / $95.50 / $95.50
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $97.72 / $158.49
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$31.62 / $53.70 / $85.11
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.99 / $45.71 / $72.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $93.33 / $173.78
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$31.62 / $51.29 / $93.33
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$26.92 / $42.66 / $79.43