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Georgia 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
$275.00 / $691.00 / $1,354.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.00 / $275.00 / $275.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.48 / $517.40 / $886.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.42 / $202.71 / $463.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.70 / $256.47 / $709.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.00 / $360.00 / $500.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.58 / $280.22 / $495.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.35 / $245.18 / $528.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.99 / $138.55 / $243.13