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New York rates for HCPCS G0279

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

Facilitymedian $23 · 10th–90th $18$410%20%10th90th$23Professionalmedian $41 · 10th–90th $21$1100%5%10%10th90th$41$0.5$2.0$10.0$50.0$200.0

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
$17.78 / $23.44 / $40.74
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $57.54 / $204.17
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.91 / $30.90 / $63.10
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$33.11 / $309.03 / $323.59
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$15.85 / $22.91 / $66.07
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $34.67 / $40.74
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.91 / $38.02 / $42.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $54.95 / $107.15
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$24.55 / $29.51 / $57.54
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.89 / $25.12 / $46.77
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $41.69 / $77.62
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$6.61 / $30.90 / $43.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $37.15 / $93.33
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $25.70 / $57.54
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$11.75 / $11.75 / $50.12
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $63.10 / $85.11
Emblem Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.90 / $44.67 / $57.54
Emblem Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$15.14 / $20.42 / $26.30
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $66.07 / $120.23
Excellus BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.92 / $42.66 / $70.79
Excellus BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$15.49 / $22.91 / $47.86
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $67.61 / $107.15
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.90 / $42.66 / $70.79
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $75.86 / $125.89
MVP Health Care
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.88 / $40.74 / $75.86
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$27.54 / $33.88 / $54.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $64.57 / $177.83
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $41.69 / $104.71
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$16.22 / $26.30 / $81.28
Univera
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$23.44 / $30.20 / $30.90
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $57.54 / $120.23
Univera
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.44 / $36.31 / $72.44
Univera
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$15.49 / $22.39 / $47.86