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Tennessee 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
$19.50 / $19.50 / $51.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $54.95 / $112.20
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.91 / $29.51 / $66.07
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$38.90 / $38.90 / $38.90
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.85 / $22.91 / $47.86
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $36.31 / $77.62
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.89 / $30.90 / $54.95
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$10.72 / $20.42 / $44.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $60.26 / $112.20
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.84 / $44.67 / $70.79
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.39 / $35.48 / $56.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $38.90 / $38.90
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.12 / $25.12 / $25.12
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$14.13 / $14.13 / $14.13
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$181.97 / $181.97 / $181.97
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $363.08 / $363.08
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$181.97 / $229.09 / $229.09
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$151.36 / $151.36 / $151.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $66.07 / $104.71
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.54 / $36.31 / $58.88
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.91 / $28.84 / $45.71