go back

Louisiana 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
$300.00 / $538.00 / $1,395.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.13 / $300.00 / $320.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.27 / $214.77 / $345.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.27 / $122.27 / $122.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.00 / $240.00 / $350.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $111.10 / $180.58