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Virginia rates for HCPCS G0279

Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)

Facilitymedian $35 · 10th–90th $30$540%20%10th90th$35Professionalmedian $32 · 10th–90th $20$690%20%10th90th$32$0.0$0.1$0.5$2.0$10.0$50.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$30.20 / $35.48 / $53.70
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $52.48 / $75.86
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.99 / $28.84 / $61.66
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$33.11 / $309.03 / $323.59
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$15.85 / $22.91 / $32.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.02 / $51.29 / $81.28
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.30 / $31.62 / $45.71
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.50 / $25.12 / $43.65
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$43.65 / $43.65 / $43.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $37.15 / $37.15
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $25.70 / $25.70
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$11.75 / $11.75 / $11.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $47.86 / $75.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $31.62 / $40.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$12.59 / $15.14 / $25.70
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $58.88 / $58.88
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $54.95 / $100.00
Sentara
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.20 / $35.48 / $60.26
Sentara
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.99 / $29.51 / $50.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $66.07 / $109.65
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.39 / $36.31 / $61.66
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$17.78 / $30.20 / $50.12