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New Mexico 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
$175.13 / $1,026.48 / $1,026.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.13 / $241.06 / $313.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.59 / $425.59 / $425.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.00 / $270.00 / $538.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $91.79 / $1,000.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.75 / $241.06 / $425.59
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.00 / $270.00 / $898.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.89 / $393.89 / $393.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.02 / $155.02 / $396.28