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Virginia rates for HCPCS 77065

Diagnostic Mammography Computer-Aided Detcj Uni

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$34.07 / $38.76 / $110.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.20 / $119.44 / $204.50
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.86 / $36.93 / $74.55
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$74.59 / $86.23 / $151.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.00 / $141.94 / $205.19
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.47 / $42.71 / $62.20
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$78.25 / $99.05 / $143.22
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.44 / $143.44 / $279.70
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.55 / $42.55 / $54.04
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$100.89 / $100.89 / $128.13
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
$103.72 / $168.70 / $292.91
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.78 / $49.23 / $81.88
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$72.14 / $118.07 / $204.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.51 / $144.62 / $177.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.33 / $42.41 / $51.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$86.18 / $103.42 / $126.74
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$44.69 / $71.67 / $119.98
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.00 / $151.60 / $245.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.10 / $153.74 / $283.85
Sentara
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.47 / $54.27 / $86.10
Sentara
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$93.64 / $122.67 / $197.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.86 / $162.62 / $245.56
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.04 / $49.37 / $80.02
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$74.94 / $112.40 / $169.98