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Nebraska 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
$186.90 / $375.00 / $443.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.90 / $186.90 / $192.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$335.69 / $454.95 / $854.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.49 / $362.88 / $371.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.77 / $445.25 / $879.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.16 / $311.00 / $2,489.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.76 / $205.11 / $1,293.17
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.10 / $182.60 / $879.81
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.40 / $182.60 / $879.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.76 / $196.25 / $244.66