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California rates for HCPCS 0634T

Computed tomography, breast, including 3D rendering, when performed, unilateral; with contrast material(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $2,089.30 / $2,818.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $208.93 / $302.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $398.11 / $602.56
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $457.09 / $602.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $371.54 / $2,187.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $275.42 / $407.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $630.96 / $831.76
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $2,630.27 / $2,630.27
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,698.24 / $1,698.24
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $269.15 / $426.58
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $281.84 / $407.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $288.40 / $446.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $177.83 / $389.05