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Texas 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
$24.63 / $32.00 / $49.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.42 / $130.06 / $400.90
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.90 / $36.29 / $59.85
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$60.52 / $86.23 / $151.87
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.20 / $99.16 / $151.66
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.02 / $38.85 / $70.73
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$56.27 / $64.31 / $64.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.30 / $92.75 / $142.06
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.81 / $154.00 / $220.77
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.90 / $38.71 / $40.72
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
$98.13 / $141.06 / $256.07
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.83 / $43.12 / $78.13
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$69.89 / $99.65 / $179.15
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$90.38 / $187.10 / $187.10
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$810.58 / $810.58 / $1,053.68
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$242.65 / $242.65 / $307.35
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$567.92 / $567.92 / $746.33
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.98 / $175.50 / $352.95
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.94 / $60.85 / $147.52
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$110.59 / $140.37 / $340.28
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.63 / $104.78 / $204.54
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$43.97 / $43.97 / $43.97
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.09 / $156.22 / $328.60
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.20 / $41.58 / $76.84
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$70.22 / $97.26 / $173.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.73 / $150.06 / $220.61
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.49 / $45.02 / $71.16
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$75.90 / $104.01 / $158.88
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.08 / $116.66 / $165.58
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.48 / $36.27 / $50.04
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$72.59 / $80.39 / $115.53