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New Jersey rates for HCPCS G0279

Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)

Facilitymedian $39 · 10th–90th $29$1950%20%10th90th$39Professionalmedian $36 · 10th–90th $20$780%5%10%10th90th$36$10.0$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$28.84 / $38.90 / $194.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $54.95 / $128.82
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.91 / $30.20 / $66.07
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$53.70 / $53.70 / $53.70
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$15.14 / $22.91 / $58.88
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $36.31 / $40.74
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.38 / $25.70 / $53.70
AmeriHealth
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $25.70 / $77.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $37.15 / $37.15
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $25.70 / $25.70
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$11.75 / $11.75 / $11.75
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $61.66 / $79.43
Emblem Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$27.54 / $41.69 / $53.70
Emblem Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$13.18 / $19.95 / $25.70
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $47.86 / $107.15
Horizon BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$20.42 / $24.55 / $57.54
Horizon BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.20 / $22.39 / $51.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $61.66 / $102.33
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$20.89 / $35.48 / $57.54
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$11.75 / $27.54 / $47.86