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Arizona 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
$23.37 / $23.37 / $42.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.94 / $52.21 / $232.28
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.41 / $26.31 / $68.67
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$14.02 / $23.83 / $50.35
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.99 / $36.92 / $42.00
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.63 / $34.78 / $64.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.02 / $40.02 / $50.03
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.14 / $21.88 / $28.72
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.88 / $18.14 / $22.68
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$32.40 / $32.40 / $32.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.28 / $39.28 / $39.28
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.29 / $25.29 / $25.29
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$13.99 / $13.99 / $13.99
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$53.88 / $141.63 / $141.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.95 / $65.87 / $334.42
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.96 / $35.85 / $182.49
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.26 / $30.02 / $151.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.94 / $61.54 / $101.39
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.68 / $33.89 / $56.26
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.20 / $27.96 / $46.15