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California 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
$25.70 / $36.31 / $138.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $64.57 / $275.42
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.44 / $30.90 / $83.18
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$33.11 / $309.03 / $323.59
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.20 / $25.70 / $131.83
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $44.67 / $95.50
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.92 / $50.12 / $67.61
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$10.72 / $24.55 / $25.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $112.20 / $186.21
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.11 / $57.54 / $95.50
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.92 / $54.95 / $89.13
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $85.11 / $154.88
Blue Shield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.18 / $35.48 / $77.62
Blue Shield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$24.55 / $33.11 / $72.44
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$6.61 / $30.90 / $43.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $38.90 / $56.23
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.12 / $25.12 / $25.12
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$14.13 / $14.13 / $14.13
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $50.12 / $67.61
Contra Costa Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.12 / $31.62 / $42.66
Contra Costa Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$17.78 / $22.39 / $25.12
HealthNet
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $1,659.59 / $1,659.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $48.98 / $83.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.18 / $37.15 / $60.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$14.79 / $19.05 / $33.88
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$181.97 / $181.97 / $181.97
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $363.08 / $363.08
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$181.97 / $229.09 / $229.09
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$151.36 / $151.36 / $151.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $33.11 / $60.26
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$6.61 / $30.90 / $43.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $37.15 / $117.49
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.70 / $25.70 / $25.70
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$11.75 / $11.75 / $11.75
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $181.97 / $181.97
Sutter Health Plus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$97.72 / $97.72 / $97.72
Sutter Health Plus
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$85.11 / $85.11 / $85.11
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $56.23 / $81.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $61.66 / $117.49
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.99 / $33.88 / $61.66
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.95 / $27.54 / $54.95