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Montana rates for HCPCS 0634T

Computed tomography, breast, including 3D rendering, when performed, unilateral; with contrast material(s)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $223.87 / $371.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $316.23 / $371.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $316.23 / $478.63
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $346.74 / $524.81
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $346.74 / $524.81
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $275.42 / $389.05
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $346.74 / $478.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $154.88 / $302.00