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New Hampshire rates for HCPCS 0634T

Ct Breast W/3d Rendering Uni With Contrast

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.59 / $194.35 / $225.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.51 / $261.89 / $422.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.41 / $1,071.41 / $1,906.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.00 / $600.00 / $600.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.18 / $399.11 / $731.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.59 / $237.09 / $492.10
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,750.00 / $3,500.00