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Utah 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
$38.28 / $38.28 / $38.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.62 / $58.14 / $268.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.57 / $28.41 / $61.94
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.82 / $26.22 / $132.00
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
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.71 / $52.59 / $67.18
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$46.36 / $46.36 / $46.36
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.95 / $70.65 / $83.80
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.95 / $40.42 / $46.97
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.98 / $30.46 / $36.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.94 / $61.53 / $93.00
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.68 / $33.75 / $50.74
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.80 / $27.78 / $42.94