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Maine rates for HCPCS 0633T

Ct Breast W/3d Rendering Uni Without Contrast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $900.00 / $900.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.35 / $219.17 / $232.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.15 / $212.15 / $287.88
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.32 / $290.16 / $536.88
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $900.00 / $900.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.00 / $203.95 / $232.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.64 / $159.49 / $275.49