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Arkansas rates for HCPCS G0279

Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$29.12 / $29.12 / $29.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.53 / $51.42 / $77.73
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.82 / $29.13 / $52.06
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.22 / $22.73 / $39.24
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.05 / $64.05 / $64.05
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.31 / $41.24 / $41.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.73 / $76.73 / $76.73
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.74 / $43.74 / $43.74
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$33.00 / $33.00 / $33.00
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.02 / $30.51 / $50.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.14 / $39.28 / $50.31
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.04 / $25.29 / $27.89
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$12.10 / $13.99 / $22.42
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.66 / $73.66 / $73.66
Qualchoice
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.43 / $47.43 / $55.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.74 / $71.04 / $99.72
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.62 / $41.24 / $56.64
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.98 / $30.31 / $43.08