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Nebraska rates for HCPCS 0634T

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

Facilitymedian $324 · 10th–90th $182–$6920%10%10th90th$324Professionalmedian $200 · 10th–90th $174–$3630%20%10th90th$200$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$186.21 / $186.21 / $186.21
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $194.98 / $275.42
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $436.52 / $851.14
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $354.81 / $371.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $446.68 / $870.96
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$186.21 / $309.03 / $2,511.89
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $302.00 / $1,288.25
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $478.63 / $870.96
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $446.68 / $870.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$165.96 / $218.78 / $331.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $309.03 / $407.38