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Georgia 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
$549.54 / $1,000.00 / $1,348.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $223.87 / $302.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $407.38 / $741.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $208.93 / $346.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $407.38 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $288.40 / $501.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $281.84 / $426.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $436.52 / $436.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $208.93 / $389.05