go back

Washington 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
$53.54 / $65.43 / $129.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.74 / $195.76 / $504.90
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.89 / $53.55 / $123.75
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$240.30 / $240.30 / $240.30
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$103.12 / $136.50 / $284.42
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.86 / $298.67 / $432.83
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.01 / $75.44 / $90.74
Asuris Northwest Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$98.65 / $211.96 / $211.96
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.53 / $375.22 / $1,368.98
Asuris Northwest Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$65.14 / $112.28 / $388.43
Asuris Northwest Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$154.31 / $264.39 / $980.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.45 / $297.83 / $512.44
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.72 / $86.30 / $142.00
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$122.03 / $212.29 / $374.14
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$46.81 / $105.35 / $141.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.71 / $342.94 / $452.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.81 / $100.70 / $129.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$127.02 / $259.99 / $345.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.46 / $154.66 / $374.57
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$76.95 / $92.51 / $95.14
Pacific Source
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.20 / $77.00 / $93.80
Pacific Source
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$156.21 / $184.80 / $227.13
Premera BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$63.87 / $63.87 / $63.98
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.68 / $368.42 / $451.15
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.27 / $110.10 / $133.28
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$172.41 / $260.06 / $317.89
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$226.77 / $226.77 / $311.07
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.45 / $326.80 / $445.13
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$65.41 / $96.88 / $131.52
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$156.97 / $230.18 / $313.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.69 / $205.69 / $450.31
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.18 / $59.30 / $132.99
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$131.74 / $149.47 / $317.32
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.01 / $181.01 / $181.01
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.05 / $49.05 / $49.05
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$131.96 / $131.96 / $131.96