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Idaho 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
$802.00 / $802.00 / $802.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.79 / $223.25 / $371.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.24 / $504.76 / $602.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.48 / $315.48 / $499.46
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.12 / $311.02 / $402.49
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.46 / $499.46 / $499.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $3,900.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.39 / $490.89 / $601.42
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.73 / $298.50 / $313.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.02 / $191.50 / $364.24