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Tennessee 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
$309.03 / $575.44 / $794.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $223.87 / $323.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $218.78 / $426.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $131.83 / $707.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $323.59 / $446.68
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $1,288.25 / $2,630.27
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,698.24 / $1,698.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $213.80 / $213.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $194.98 / $331.13