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Wisconsin rates for HCPCS 0633T

Ct Breast W/3d Rendering Uni Without Contrast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.00 / $200.00 / $385.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.55 / $211.49 / $385.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.93 / $435.36 / $1,326.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.00 / $290.00 / $340.00
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.55 / $249.46 / $451.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.55 / $271.91 / $926.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.69 / $260.76 / $1,293.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $70.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.55 / $249.46 / $451.46
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.00 / $462.78 / $660.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$476.95 / $2,489.36 / $2,489.36
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$858.51 / $1,293.17 / $1,293.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.87 / $253.92 / $457.66