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Virginia 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
$206.50 / $1,626.00 / $3,152.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.00 / $206.50 / $275.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $327.14 / $411.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.70 / $746.81 / $995.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.52 / $400.00 / $935.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.08 / $230.50 / $282.48
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.59 / $239.19 / $372.32
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.92 / $301.29 / $471.58
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.18 / $189.15 / $335.02
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.64 / $241.41 / $391.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.96 / $237.09 / $410.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.09 / $217.73 / $361.70