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Pennsylvania 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
$229.09 / $676.08 / $954.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $208.93 / $302.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $446.68 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $269.15 / $933.25
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $295.12 / $295.12
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $263.03 / $275.42
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $676.08 / $954.99
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $218.78 / $371.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $467.74 / $630.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $181.97 / $302.00