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Wisconsin rates for HCPCS G0279

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

Facilitymedian $45 · 10th–90th $26$1410%20%10th90th$45Professionalmedian $44 · 10th–90th $23$1230%10%10th90th$44$10.0$20.0$50.0$100.0$200.0$500.0

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
$25.70 / $26.92 / $44.67
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $52.48 / $177.83
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $28.84 / $69.18
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$38.90 / $38.90 / $38.90
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$15.14 / $22.91 / $67.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $79.43 / $234.42
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$27.54 / $42.66 / $131.83
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.39 / $36.31 / $104.71
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $36.31 / $56.23
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$74.13 / $87.10 / $138.04
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $63.10 / $194.98
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $39.81 / $114.82
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$11.75 / $22.91 / $79.43
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $95.50 / $134.90
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $61.66 / $85.11
DeanCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$28.84 / $34.67 / $60.26
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$141.25 / $141.25 / $141.25
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $102.33 / $331.13
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $58.88 / $181.97
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.12 / $44.67 / $151.36
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $85.11
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $75.86 / $194.98
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$35.48 / $72.44 / $107.15
Network Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.99 / $39.81 / $87.10
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $95.50 / $158.49
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $181.97 / $181.97
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $269.15 / $331.13
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.12 / $147.91 / $181.97
Quartz
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$14.13 / $120.23 / $151.36
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $134.90 / $134.90
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $75.86 / $75.86
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$60.26 / $60.26 / $60.26
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $144.54 / $295.12
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$61.66 / $72.44 / $102.33
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$36.31 / $58.88 / $75.86
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $107.15 / $141.25
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$37.15 / $77.62 / $89.13
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.05 / $48.98 / $83.18