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Montana 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
Professional
Modifier
Low / Median / High Price
$183.53 / $223.25 / $273.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$315.48 / $315.48 / $375.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.48 / $315.48 / $474.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.98 / $241.06 / $375.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.48 / $315.48 / $474.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.02 / $155.02 / $320.29