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Ohio 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
$27.10 / $49.59 / $98.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.50 / $50.14 / $139.41
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.82 / $28.57 / $59.53
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$17.41 / $22.73 / $38.85
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.38 / $33.45 / $35.89
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.51 / $30.30 / $45.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.87 / $59.00 / $105.48
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.45 / $33.74 / $60.12
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.14 / $24.43 / $45.72
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $40.74 / $40.74
Aultcare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.89 / $26.89 / $26.89
Aultcare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$13.85 / $13.85 / $13.85
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.24 / $34.49 / $59.91
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 / $39.28
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.29 / $25.29 / $25.29
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$13.99 / $13.99 / $13.99
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$32.40 / $32.40 / $32.40
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.28 / $39.28 / $39.28
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.29 / $25.29 / $57.32
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$13.99 / $13.99 / $13.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.47 / $64.33 / $95.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.89 / $62.21 / $111.88
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.37 / $34.85 / $58.78
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.11 / $27.32 / $47.99