go back

Indiana 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
$196.57 / $631.00 / $2,040.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.36 / $203.12 / $245.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.85 / $839.50 / $2,256.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.05 / $407.85 / $562.83
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.53 / $2,269.08 / $4,875.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.61 / $137.80 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.00 / $433.00 / $538.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.19 / $149.19 / $218.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.02 / $182.38 / $328.00