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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)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$17.78 / $23.44 / $40.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $57.54 / $234.42
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.91 / $30.90 / $72.44
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$33.11 / $309.03 / $323.59
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.85 / $22.91 / $72.44
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $34.67 / $74.13
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.91 / $38.02 / $66.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $54.95 / $107.15
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.55 / $29.51 / $57.54
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.89 / $25.12 / $46.77
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $41.69 / $77.62
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$6.61 / $30.90 / $43.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $38.90 / $93.33
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.12 / $25.12 / $58.88
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$14.13 / $14.13 / $50.12
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $61.66 / $79.43
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.90 / $45.71 / $57.54
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$13.80 / $19.95 / $26.30
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $66.07 / $120.23
Excellus BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.92 / $42.66 / $70.79
Excellus BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.49 / $22.91 / $47.86
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $64.57 / $107.15
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.20 / $42.66 / $70.79
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $75.86 / $125.89
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.88 / $40.74 / $75.86
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$27.54 / $33.88 / $54.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $56.23 / $109.65
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.89 / $30.90 / $60.26
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$14.79 / $25.12 / $51.29
Univera
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$23.44 / $30.20 / $30.90
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $57.54 / $120.23
Univera
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.44 / $36.31 / $72.44
Univera
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.49 / $22.39 / $47.86