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Wyoming 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
$27.34 / $27.34 / $27.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.14 / $48.56 / $61.70
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.63 / $26.52 / $54.11
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$54.11 / $54.11 / $54.11
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.70 / $22.73 / $31.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.00 / $222.00 / $222.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$73.00 / $121.00 / $121.00
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$61.00 / $101.00 / $101.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.28 / $39.28 / $84.44
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.29 / $25.29 / $47.27
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$13.99 / $13.99 / $37.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.05 / $98.24 / $173.79
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.14 / $53.88 / $94.60
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.91 / $44.36 / $79.19