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New Jersey 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
$35.18 / $36.53 / $200.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.59 / $138.38 / $348.87
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.09 / $35.43 / $97.91
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$23.57 / $91.50 / $622.50
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$78.81 / $98.51 / $165.19
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.31 / $111.03 / $189.40
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.34 / $33.90 / $66.69
Ambetter
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$19.10 / $20.83 / $83.57
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$120.44 / $120.44 / $120.44
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.35 / $123.78 / $297.70
AmeriHealth
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.02 / $62.59 / $89.65
AmeriHealth
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$42.83 / $180.00 / $200.55
AmeriHealth
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$91.48 / $218.34 / $268.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.96 / $175.19 / $282.58
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.65 / $45.77 / $74.22
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$73.84 / $128.22 / $212.82
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.16 / $178.84 / $243.00
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.82 / $47.64 / $82.20
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$109.07 / $131.21 / $198.43
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.78 / $115.88 / $201.59
Horizon BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.39 / $31.05 / $126.04
Horizon BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$72.09 / $86.78 / $154.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.55 / $154.50 / $256.97
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.22 / $43.09 / $67.79
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$73.34 / $116.73 / $189.94