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New Hampshire 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
$173.78 / $223.87 / $275.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $190.55 / $309.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,071.52 / $1,905.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $371.54 / $602.56
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $363.08 / $549.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $245.47 / $501.19
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $2,511.89 / $2,511.89