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Virginia 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
$206.50 / $1,626.00 / $3,152.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.00 / $206.50 / $275.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $245.91 / $330.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.70 / $662.24 / $882.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.52 / $400.00 / $935.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.08 / $230.50 / $282.48
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.59 / $239.19 / $372.32
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.08 / $194.00 / $471.58
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.84 / $154.26 / $330.51
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.69 / $237.49 / $391.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.35 / $250.18 / $250.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.90 / $137.33 / $226.98