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Delaware 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
$209.09 / $209.09 / $209.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.53 / $209.09 / $229.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.73 / $290.73 / $290.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.91 / $198.28 / $403.10