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Idaho 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
$26.32 / $27.65 / $54.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.14 / $50.14 / $103.70
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.82 / $26.34 / $44.08
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.92 / $22.76 / $31.42
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
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.74 / $106.74 / $107.01
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$106.74 / $106.74 / $107.01
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$106.74 / $106.74 / $107.01
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.45 / $81.13 / $85.40
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.36 / $52.23 / $54.98
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.08 / $28.88 / $30.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.71 / $30.00 / $78.00
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$49.41 / $49.41 / $49.41
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.05 / $70.65 / $82.70
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.52 / $41.79 / $45.01
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$24.12 / $28.85 / $37.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.90 / $61.53 / $105.40
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.20 / $33.75 / $57.81
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.60 / $27.78 / $47.59