go back

Illinois 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
$28.87 / $40.40 / $47.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.10 / $52.33 / $139.41
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.82 / $29.30 / $62.95
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.25 / $23.83 / $37.10
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.76 / $34.75 / $68.39
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.63 / $34.21 / $38.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.06 / $45.11 / $66.70
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
$41.09 / $61.65 / $179.64
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.44 / $37.40 / $164.07
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$13.87 / $20.37 / $164.07
Hally Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.42 / $53.43 / $57.63
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.50 / $35.40 / $37.40
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.03 / $18.92 / $20.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.15 / $32.34 / $60.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $70.66 / $102.02
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.54 / $39.22 / $56.58
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.17 / $31.89 / $45.65