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Maine rates for HCPCS 77067

Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$43.65 / $144.54 / $407.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $154.88 / $295.12
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.20 / $42.66 / $107.15
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$27.54 / $123.03 / $204.17
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$81.28 / $107.15 / $251.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $173.78 / $245.47
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.54 / $47.86 / $67.61
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$75.86 / $125.89 / $177.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $173.78 / $295.12
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.81 / $47.86 / $89.13
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$100.00 / $134.90 / $234.42
Community Health Options
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $173.78 / $251.19
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $190.55 / $363.08
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.66 / $53.70 / $102.33
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$109.65 / $138.04 / $263.03
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$43.65 / $112.20 / $302.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $158.49 / $295.12
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.88 / $44.67 / $97.72
Martin's Point
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$20.42 / $120.23 / $204.17
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$91.20 / $117.49 / $234.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $186.21 / $354.81
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.02 / $52.48 / $100.00
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$91.20 / $131.83 / $257.04