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Texas 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
$266.67 / $913.00 / $2,029.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.00 / $209.11 / $275.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.22 / $368.62 / $1,246.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.00 / $235.00 / $359.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$404.32 / $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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.15 / $209.19 / $392.46
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.68 / $184.68 / $185.52
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.51 / $224.68 / $480.06
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.00 / $235.00 / $359.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.67 / $111.10 / $198.42
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.68 / $195.18 / $262.29