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Arizona rates for HCPCS 0636T

Computed tomography, breast, including 3D rendering, when performed, bilateral; without contrast material(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.00 / $990.00 / $1,543.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.00 / $217.07 / $245.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.11 / $885.53 / $1,472.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.89 / $404.44 / $505.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.47 / $223.70 / $607.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$935.47 / $935.47 / $935.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.25 / $317.10 / $2,489.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.73 / $205.39 / $1,293.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.73 / $199.74 / $444.23