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North Carolina 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
$195.34 / $516.00 / $1,668.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.34 / $195.34 / $275.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.70 / $421.70 / $421.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.70 / $223.70 / $343.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.00 / $935.47 / $935.47
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.59 / $190.57 / $332.08
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $190.57 / $701.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.86 / $190.59 / $237.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.22 / $237.09 / $465.36
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.40 / $2,613.82 / $2,613.82
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,293.17 / $1,679.48 / $1,679.48