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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
$549.54 / $1,000.00 / $1,348.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $223.87 / $302.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $398.11 / $794.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $204.17 / $302.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $380.19 / $380.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $288.40 / $501.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $281.84 / $426.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $263.03 / $263.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $128.82 / $239.88