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Louisiana 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
$300.00 / $538.00 / $1,395.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.13 / $300.00 / $320.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.90 / $350.88 / $566.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.97 / $131.97 / $131.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.00 / $240.00 / $350.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.35 / $182.38 / $295.70