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North Carolina 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
$195.34 / $516.00 / $1,668.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.34 / $195.34 / $275.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.70 / $421.70 / $421.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.44 / $223.70 / $223.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.00 / $935.47 / $935.47
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.59 / $190.57 / $332.08
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.00 / $190.57 / $701.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.10 / $159.10 / $159.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.06 / $144.46 / $280.36
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$404.32 / $2,613.82 / $2,613.82
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,293.17 / $1,679.48 / $1,679.48