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Rhode Island rates for HCPCS 0633T

Computed tomography, breast, including 3D rendering, when performed, unilateral; without contrast material

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.59 / $201.79 / $222.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.72 / $227.85 / $283.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.96 / $237.96 / $237.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.44 / $126.65 / $245.67