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Missouri rates for HCPCS 77066

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$45.36 / $50.21 / $97.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.59 / $166.95 / $887.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.29 / $53.84 / $131.46
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$91.98 / $120.78 / $296.19
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.48 / $125.72 / $230.48
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.89 / $52.33 / $67.94
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$93.16 / $93.16 / $93.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.00 / $172.10 / $318.80
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.94 / $58.26 / $101.70
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$88.50 / $121.89 / $216.32
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$54.02 / $54.02 / $54.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.38 / $215.38 / $344.75
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.22 / $66.48 / $103.85
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$93.55 / $151.58 / $242.48
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$111.37 / $211.96 / $211.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.27 / $212.85 / $1,024.30
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.67 / $64.01 / $300.10
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$115.60 / $148.32 / $724.19
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.05 / $265.05 / $265.05
Qualchoice
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.13 / $78.13 / $78.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.27 / $199.52 / $326.39
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.10 / $59.81 / $102.50
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$115.60 / $138.72 / $233.32