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New York 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
$218.78 / $1,071.52 / $1,258.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $218.78 / $302.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $323.59 / $524.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $371.54 / $446.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $933.25 / $933.25
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $295.12 / $295.12
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $331.13 / $501.19
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50,118.72 / $53,703.18 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $398.11 / $501.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $186.21 / $389.05
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $190.55 / $190.55
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $190.55 / $457.09