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Indiana rates for HCPCS 0634T

Ct Breast W/3d Rendering Uni With Contrast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.57 / $631.00 / $2,040.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.36 / $203.12 / $245.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$394.00 / $839.50 / $2,256.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.86 / $358.01 / $494.05
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.53 / $2,172.42 / $4,875.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.61 / $131.97 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.00 / $433.00 / $472.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.69 / $190.69 / $328.00