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Arizona rates for HCPCS 0635T

Computed tomography, breast, including 3D rendering, when performed, unilateral; without contrast, followed by contrast material(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.00 / $990.00 / $1,543.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.00 / $217.07 / $245.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.74 / $663.77 / $1,103.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.54 / $300.05 / $375.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.74 / $223.70 / $461.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.00 / $286.00 / $362.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.81 / $265.73 / $2,489.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.24 / $155.93 / $1,293.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.61 / $155.93 / $242.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.24 / $155.02 / $324.64