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West 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
$194.36 / $194.36 / $504.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.36 / $225.65 / $226.10
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$647.64 / $2,833.43 / $5,666.86
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119,998.80 / $119,998.80 / $119,998.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.36 / $223.70 / $662.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$935.47 / $935.47 / $935.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.80 / $142.55 / $255.73