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Washington, DC rates for HCPCS 0633T

Computed tomography, breast, including 3D rendering, when performed, unilateral; without contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.65 / $1,550.00 / $1,925.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.46 / $225.65 / $225.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$289.32 / $762.57 / $762.57
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.69 / $248.58 / $465.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.16 / $283.77 / $391.72