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North Dakota 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
$205.87 / $205.87 / $346.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.38 / $203.95 / $243.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.70 / $223.70 / $223.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.49 / $464.49 / $935.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.36 / $307.19 / $352.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.55 / $221.74 / $1,293.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.46 / $199.62 / $299.08