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Ohio rates for HCPCS G0279

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

Facilitymedian $36 · 10th–90th $27$810%20%10th90th$36Professionalmedian $35 · 10th–90th $21$740%20%10th90th$35$0.0$0.1$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
$26.92 / $36.31 / $81.28
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $53.70 / $109.65
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.99 / $28.84 / $61.66
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$38.90 / $38.90 / $38.90
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$15.85 / $22.91 / $51.29
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $34.67 / $36.31
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.38 / $27.54 / $47.86
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$13.49 / $13.49 / $13.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $64.57 / $104.71
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.20 / $38.02 / $61.66
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.05 / $28.18 / $46.77
Aultcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $40.74 / $70.79
Aultcare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.92 / $26.92 / $50.12
Aultcare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$13.80 / $13.80 / $21.38
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $34.67 / $64.57
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
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$6.61 / $30.90 / $43.65
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $38.90 / $53.70
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.12 / $25.12 / $51.29
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$14.13 / $14.13 / $14.13
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
SummaCare
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$32.36 / $32.36 / $32.36
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $50.12 / $91.20
SummaCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.92 / $33.88 / $63.10
SummaCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$11.48 / $15.14 / $26.92
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $60.26 / $102.33
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$24.55 / $33.88 / $58.88
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$16.98 / $26.30 / $45.71