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Oklahoma 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
$34.54 / $38.00 / $43.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.26 / $53.25 / $60.36
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.20 / $29.31 / $34.54
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$16.05 / $23.94 / $25.82
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.07 / $32.07 / $32.07
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.83 / $35.83 / $41.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.05 / $51.45 / $70.65
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
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$53.88 / $141.63 / $141.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.55 / $61.53 / $334.42
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.08 / $34.21 / $182.49
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.47 / $27.92 / $151.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.55 / $57.73 / $83.91
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.08 / $32.79 / $45.07
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.47 / $25.26 / $38.89