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New York 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
$29.44 / $43.02 / $103.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.04 / $139.77 / $483.93
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.45 / $41.40 / $93.15
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$74.59 / $94.39 / $178.03
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.05 / $97.71 / $118.85
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.95 / $32.49 / $54.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.65 / $115.89 / $324.58
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.64 / $33.52 / $85.50
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$63.01 / $82.37 / $210.09
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.85 / $124.99 / $180.84
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
$102.06 / $186.92 / $406.16
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.04 / $52.26 / $115.09
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$72.06 / $133.59 / $288.76
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.94 / $170.37 / $267.24
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.45 / $50.26 / $102.41
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$89.48 / $122.03 / $177.87
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.82 / $147.38 / $264.14
Excellus BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.53 / $50.47 / $81.80
Excellus BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$68.87 / $101.75 / $182.34
Fidelis
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.44 / $133.47 / $233.84
Fidelis
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.27 / $40.34 / $49.18
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.63 / $163.30 / $239.33
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.75 / $57.76 / $81.92
MVP Health Care
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$43.97 / $43.97 / $43.97
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.82 / $195.13 / $406.16
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.29 / $52.12 / $113.76
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$74.80 / $127.06 / $278.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.26 / $143.74 / $312.18
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.43 / $44.83 / $91.76
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$76.05 / $98.91 / $220.30
Univera
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$41.18 / $41.18 / $54.69
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.19 / $185.29 / $318.33
Univera
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.95 / $57.27 / $98.59
Univera
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$68.87 / $128.02 / $219.75