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Oregon 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
$26.32 / $46.18 / $64.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.60 / $60.37 / $255.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.85 / $32.10 / $75.25
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$54.11 / $54.11 / $54.11
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.88 / $27.22 / $132.00
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.16 / $102.30 / $116.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.36 / $64.98 / $73.16
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$31.05 / $37.07 / $43.54
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.45 / $93.09 / $140.06
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.36 / $61.01 / $87.42
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.08 / $35.72 / $70.27
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$41.67 / $56.03 / $57.62
Pacific Source
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.57 / $47.84 / $59.34
Pacific Source
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.85 / $32.38 / $49.70
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$32.40 / $32.40 / $32.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.28 / $108.63 / $148.19
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.29 / $25.29 / $25.29
Providence
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$59.87 / $60.41 / $60.41
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$13.99 / $13.99 / $13.99
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$64.77 / $64.77 / $64.77
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.56 / $110.26 / $148.97
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.57 / $60.70 / $81.48
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$38.99 / $47.59 / $67.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.72 / $69.37 / $159.96
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.19 / $38.20 / $87.73
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.26 / $30.06 / $72.34