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New York 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
$174.23 / $976.00 / $1,254.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.00 / $219.17 / $275.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.70 / $327.14 / $545.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.21 / $223.70 / $260.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.00 / $300.00 / $2,049.96
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.27 / $290.27 / $290.27
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.87 / $330.15 / $420.88
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$221.22 / $258.08 / $495.34
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.44 / $202.54 / $372.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.09 / $114.12 / $240.64
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.87 / $190.87 / $190.87
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.87 / $194.55 / $420.88