Diagnostic digital breast tomosynthesis

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

DIAGNOSTIC DIGITAL BREAST TOMOSYNTHESIS, UNILATERAL OR BILATERAL (LIST SEPARATELY IN ADDITION TO 77065 OR 77066)

Payers reporting HCPCS G0279

Payer pricing summary

Low

$24

Average

$109

Median

$73

High

$557

Payer rate distribution

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#
1	Anthem fee schedule · outpatient · +26 other terms	149	$52	$78	$70	90%	1,378–1,441	$11 – $433
2	Bcbs Al facility · other · outpatient · +3 other terms	5	$74	$80	$12	14%	706–742	$67 – $109
3	Blue Cross Blue Shield fee schedule · outpatient · +30 other terms	441	$35	$265	$1.3k	494%	431–476	$0 – $22.1k
4	UnitedHealthcare fee schedule · outpatient · +34 other terms	665	$42	$57	$56	99%	155–281	$1 – $471
5	Cigna fee schedule · outpatient · +29 other terms	373	$70	$115	$82	71%	44–53	$11 – $630
6	Medicare fee schedule · outpatient · +16 other terms	27	$14	$18	$26	145%	42	$12 – $208
7	Aetna fee schedule · outpatient · +33 other terms	562	$14	$78	$75	95%	33	$1 – $298
8	Humana fee schedule · outpatient · +29 other terms	394	$16	$38	$50	132%	17–35	$1 – $255
9	Bcbs Ar fee schedule · both	1	$40	$40	—	—	12	$40 – $40
10	Molina fee schedule · outpatient · +30 other terms	216	$39	$42	$32	75%	1–10	$1 – $348
11	Aetna Better Health fee schedule · outpatient · +12 other terms	74	$53	$48	$16	33%	1–10	$6 – $63
12	Caresource fee schedule · outpatient · +18 other terms	51	$14	$23	$26	110%	1–10	$1 – $208
13	Wellmark facility · fee schedule · both · +21 other terms	32	$27	$101	$148	147%	1–10	$10 – $805
14	Bcbs Mo professional · other · both · +2 other terms	1	$222	$222	—	—	1–10	$222 – $222
15	WellCare fee schedule · outpatient · +23 other terms	236	$13	$19	$19	99%	—	$11 – $177
16	Devoted fee schedule · outpatient · +17 other terms	174	$13	$15	$8	54%	—	$11 – $44
17	Cigna Healthspring fee schedule · outpatient · +8 other terms	139	$13	$20	$19	92%	—	$12 – $96
18	Kaiser fee schedule · outpatient · +24 other terms	103	$34	$50	$44	88%	—	$11 – $280
19	Ambetter fee schedule · outpatient · +20 other terms	89	$23	$45	$44	99%	—	$7 – $261
20	Tricare facility · fee schedule · outpatient · +14 other terms	87	$13	$33	$97	297%	—	$0 – $540
21	Oscar fee schedule · outpatient · +19 other terms	76	$15	$19	$9	50%	—	$1 – $47
22	Highmark facility · fee schedule · outpatient · +18 other terms	55	$49	$82	$247	302%	—	$13 – $1.7k
23	Superior Healthplan fee schedule · outpatient · +4 other terms	55	$13	$36	$24	67%	—	$12 – $96
24	MultiPlan fee schedule · outpatient · +18 other terms	54	$102	$132	$102	78%	—	$13 – $424
25	First Health fee schedule · outpatient · +17 other terms	49	$48	$73	$77	106%	—	$12 – $364

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