Do all Payors reimburse for CAD?
Currently over 400 payers nationwide are reimbursing for the CAD procedure. Unfortunately, some insurance payers are not reimbursing at this time. For those patients whose insurances are not reimbursing or those without insurance, a voluntary co-pay charge of $25.00-$45.00 is recommended. Blue Cross and Blue Shield Technology Assessment concluded the available evidence suggests that the use of CAD after initial radiographic interpretation as a quality adjunct to single reader mammography improves net health outcomes compared with single-reader radiologist interpretation by increasing true-positive rate without a disproportionate increase in the false positive rate. Aetna considered computer-aided detection (CAD) a medically necessary adjunct to mammography.
