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New York 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
$174.23 / $976.00 / $1,254.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.00 / $219.17 / $275.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.61 / $327.14 / $556.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.70 / $362.47 / $427.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.00 / $300.00 / $4,109.97
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.27 / $290.27 / $290.27
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.87 / $330.15 / $420.88
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.70 / $422.89 / $558.41
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.76 / $275.16 / $622.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.02 / $191.52 / $394.72
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.87 / $190.87 / $190.87
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.87 / $194.55 / $420.88