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Vermont rates for HCPCS G0279

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $58.88 / $234.42
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.91 / $32.36 / $63.10
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$120.23 / $120.23 / $120.23
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.14 / $25.12 / $114.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $75.86 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $38.90 / $74.13
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.12 / $25.12 / $39.81
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$14.13 / $14.13 / $14.13
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $79.43 / $194.98
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.66 / $42.66 / $104.71
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$36.31 / $36.31 / $36.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $79.43 / $141.25
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.90 / $42.66 / $95.50
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.12 / $35.48 / $67.61