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Missouri rates for HCPCS 77065

Diagnostic Mammography Computer-Aided Detcj Uni

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$36.93 / $42.62 / $71.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.22 / $132.44 / $589.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.61 / $42.46 / $100.10
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$74.95 / $94.39 / $262.39
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.00 / $99.82 / $182.93
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.32 / $39.88 / $55.32
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$73.15 / $73.15 / $73.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.73 / $137.29 / $252.56
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.31 / $47.27 / $81.80
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$68.38 / $95.09 / $169.67
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$43.97 / $43.97 / $43.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.00 / $169.98 / $272.02
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.45 / $53.53 / $83.97
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$73.15 / $118.46 / $190.19
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$90.38 / $172.60 / $172.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.07 / $168.45 / $810.58
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.39 / $51.05 / $242.65
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$90.68 / $115.96 / $567.92
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.37 / $210.37 / $210.37
Qualchoice
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.62 / $63.62 / $63.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.07 / $154.03 / $252.65
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.79 / $48.78 / $83.72
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$85.10 / $104.65 / $176.60