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North Carolina rates for HCPCS 77065

Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$34.63 / $36.40 / $60.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.12 / $132.38 / $537.73
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.86 / $36.00 / $93.90
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$75.69 / $87.07 / $213.30
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.48 / $123.50 / $257.29
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.60 / $58.99 / $80.44
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$62.89 / $64.31 / $119.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.00 / $200.00 / $209.90
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.56 / $88.44 / $111.03
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$141.55 / $176.94 / $256.86
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
$131.28 / $203.20 / $343.20
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.20 / $60.94 / $106.53
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$90.55 / $141.29 / $239.14
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$44.69 / $58.11 / $116.22
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.00 / $162.00 / $451.09
Medcost
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.11 / $58.11 / $58.11
Medcost
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$132.69 / $309.49 / $309.49
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.14 / $116.73 / $206.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.88 / $193.99 / $333.25
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.65 / $61.25 / $105.84
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$87.87 / $136.93 / $231.65
Wellcare
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$90.38 / $187.10 / $187.10
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$810.58 / $1,053.68 / $1,053.68
Wellcare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$242.65 / $307.35 / $307.35
Wellcare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$567.92 / $746.33 / $746.33