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Maryland rates for HCPCS 0633T

Ct Breast W/3d Rendering Uni Without Contrast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.46 / $203.46 / $203.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.55 / $223.25 / $275.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.80 / $59.80 / $59.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.00 / $225.00 / $275.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.31 / $238.84 / $311.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.80 / $121.84 / $239.13