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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
$223.87 / $1,445.44 / $2,041.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $208.93 / $275.42
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $112.20 / $151.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $758.58 / $758.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $229.09 / $467.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $501.19 / $588.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $138.04 / $389.05