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Kentucky 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
$182.36 / $204.32 / $676.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.36 / $195.24 / $243.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$337.00 / $485.00 / $873.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.58 / $209.41 / $237.71
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.22 / $2,679.65 / $41,999.58
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.20 / $2,253.30 / $5,516.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.70 / $223.70 / $223.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.00 / $935.47 / $935.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.71 / $111.10 / $166.65