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Texas 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
$16.78 / $23.85 / $36.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.01 / $50.01 / $197.60
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.93 / $27.39 / $44.08
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.52 / $22.21 / $34.39
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.99 / $34.22 / $53.83
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.87 / $32.40 / $46.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.77 / $38.68 / $45.50
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.41 / $63.32 / $82.82
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.40 / $29.32 / $29.32
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
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$85.00 / $141.63 / $141.63
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.42 / $334.42 / $362.25
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$182.49 / $182.49 / $229.28
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$151.88 / $151.88 / $151.88
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.41 / $71.50 / $144.94
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.74 / $48.11 / $65.47
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.76 / $25.08 / $60.80
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.29 / $35.22 / $71.54
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 / $39.28 / $132.40
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.29 / $25.29 / $25.29
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$13.99 / $13.99 / $13.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $61.53 / $91.19
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.54 / $33.75 / $51.25
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.21 / $27.78 / $40.92
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.44 / $41.41 / $57.98
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.46 / $27.04 / $37.31
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$12.97 / $14.37 / $20.67