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Nebraska 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
$186.21 / $186.21 / $186.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $204.17 / $275.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $436.52 / $851.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $354.81 / $371.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $446.68 / $870.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $309.03 / $2,511.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $302.00 / $1,288.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $467.74 / $870.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $446.68 / $870.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $181.97 / $457.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $295.12 / $407.38