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Michigan 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
$29.14 / $29.44 / $30.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.37 / $52.33 / $136.55
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.82 / $29.15 / $44.08
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.70 / $23.83 / $33.90
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.06 / $36.67 / $43.14
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.02 / $27.97 / $38.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.40 / $62.44 / $78.88
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.27 / $45.27 / $45.27
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.28 / $21.28 / $25.03
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.42 / $34.49 / $57.05
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 / $87.76
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.29 / $25.29 / $35.04
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$13.99 / $13.99 / $25.54
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$22.91 / $29.44 / $30.91
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.46 / $55.52 / $92.36
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.91 / $29.39 / $45.03
Health Alliance Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$17.98 / $22.73 / $31.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $61.81 / $85.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.35 / $60.74 / $86.90
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.96 / $33.15 / $47.29
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.98 / $27.32 / $38.68