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Wyoming 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
$36.67 / $36.67 / $37.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.42 / $121.54 / $154.47
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.74 / $39.22 / $195.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$64.67 / $87.07 / $111.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.00 / $528.00 / $528.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$97.00 / $160.00 / $160.00
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$224.00 / $368.00 / $368.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.86 / $199.56 / $345.92
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.26 / $60.16 / $102.81
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$90.60 / $137.38 / $243.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.53 / $239.58 / $413.59
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.49 / $73.06 / $122.10
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$99.04 / $166.06 / $291.49