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Tennessee 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
$275.00 / $312.00 / $1,068.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.57 / $275.00 / $325.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.07 / $284.05 / $448.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.27 / $223.70 / $426.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.00 / $325.00 / $935.47
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.40 / $2,613.82 / $2,613.82
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,293.17 / $1,293.17 / $1,679.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.18 / $87.18 / $87.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.96 / $118.75 / $208.35