go back

Pennsylvania rates for HCPCS 77067

Screening Mammography Bi 2-View Breast Inc Cad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$33.92 / $42.00 / $117.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.11 / $147.29 / $576.79
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.53 / $39.14 / $122.91
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$23.89 / $137.69 / $726.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$79.73 / $98.52 / $244.84
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.57 / $111.03 / $234.46
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.34 / $37.29 / $59.78
Ambetter
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$19.10 / $23.80 / $127.93
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$67.73 / $135.19 / $136.87
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.31 / $138.31 / $185.79
AmeriHealth
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.79 / $42.04 / $117.26
AmeriHealth
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$100.53 / $109.17 / $388.32
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.26 / $202.12 / $247.80
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.22 / $58.71 / $70.23
Capital Blue Cross
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$88.04 / $143.44 / $182.82
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$41.28 / $41.28 / $41.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.65 / $161.87 / $254.76
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.08 / $44.79 / $71.36
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$71.97 / $117.96 / $182.08
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.05 / $178.84 / $333.48
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.70 / $49.49 / $135.10
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$105.35 / $131.21 / $198.43
Highmark BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$45.41 / $45.41 / $45.41
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.16 / $141.12 / $178.95
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.68 / $40.60 / $60.31
Highmark BCBS
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$19.38 / $21.59 / $76.95
Highmark BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$127.45 / $130.11 / $156.13
Independence Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.31 / $138.31 / $158.22
Independence Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.79 / $42.04 / $303.24
Independence Blue Cross
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$100.53 / $109.17 / $388.32
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$32.31 / $46.09 / $115.04
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.12 / $157.12 / $553.86
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.31 / $43.61 / $104.48
Martin's Point
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$20.49 / $107.45 / $622.50
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$79.81 / $106.81 / $246.68
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.78 / $102.80 / $208.42
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$41.28 / $41.28 / $41.28
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.29 / $161.10 / $254.76
Priority Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.39 / $44.79 / $72.20
Priority Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$72.65 / $116.72 / $182.08
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$35.84 / $35.84 / $41.06
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.51 / $123.40 / $145.63
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.92 / $35.85 / $41.06
UPMC Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$85.66 / $87.57 / $104.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.08 / $153.38 / $258.12
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.56 / $44.43 / $71.68
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$84.31 / $113.23 / $177.08