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New Jersey 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
$173.78 / $891.25 / $1,288.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $208.93 / $302.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $478.63 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $389.05 / $467.74
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $295.12 / $295.12
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $758.58 / $12,589.25
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $281.84 / $389.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $295.12 / $489.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $199.53 / $363.08