go back

New Hampshire 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
$169.59 / $194.35 / $225.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.64 / $297.64 / $495.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.41 / $1,071.41 / $1,906.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.00 / $600.00 / $600.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.18 / $394.86 / $731.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.30 / $246.05 / $492.10
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,750.00 / $3,500.00