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Massachusetts 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
$169.82 / $169.82 / $1,288.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $208.93 / $295.12
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $645.65 / $2,630.27
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $239.88 / $1,288.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $489.78 / $758.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $1,000.00 / $1,122.02
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $190.55 / $323.59
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $354.81 / $575.44
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $645.65 / $2,630.27
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $251.19 / $1,288.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $257.04 / $501.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $257.04 / $575.44