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Illinois rates for HCPCS 77065

Diagnostic Mammography Computer-Aided Detcj Uni

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$33.95 / $51.01 / $115.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.15 / $135.27 / $400.90
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.33 / $45.43 / $129.80
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$159.90 / $159.90 / $159.90
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$72.98 / $93.23 / $162.96
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.40 / $107.39 / $127.27
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.79 / $35.61 / $52.10
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$64.31 / $64.31 / $83.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.30 / $146.18 / $277.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.00 / $170.45 / $258.88
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.81 / $52.10 / $81.14
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$75.20 / $118.36 / $187.14
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.04 / $210.85 / $538.73
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.68 / $65.77 / $225.56
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$99.31 / $138.69 / $357.91
Hally Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.76 / $151.59 / $164.14
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.29 / $47.50 / $50.17
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$101.26 / $105.31 / $113.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $52.48 / $171.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.50 / $161.38 / $244.11
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.70 / $55.31 / $95.00
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$93.62 / $119.24 / $171.04