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Missouri 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
$28.78 / $30.76 / $44.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.62 / $53.49 / $255.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.30 / $29.57 / $75.25
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.87 / $23.92 / $132.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.22 / $35.38 / $38.21
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.72 / $29.73 / $41.24
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$13.06 / $13.06 / $13.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.31 / $57.56 / $92.15
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.42 / $31.94 / $52.18
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.77 / $25.10 / $39.04
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 / $43.49
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.29 / $25.29 / $25.72
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$13.99 / $13.99 / $17.76
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
$54.56 / $70.63 / $334.42
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.33 / $39.28 / $182.49
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$24.23 / $31.28 / $151.88
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.66 / $73.66 / $73.66
Qualchoice
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.43 / $47.43 / $47.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.14 / $65.47 / $106.29
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.06 / $35.77 / $58.54
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.17 / $28.01 / $47.34