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California 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
$389.05 / $2,089.30 / $2,818.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $208.93 / $295.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $467.74 / $724.44
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $588.84 / $776.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $478.63 / $2,187.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $275.42 / $407.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $630.96 / $831.76
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $2,630.27 / $2,630.27
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,698.24 / $1,698.24
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $302.00 / $478.63
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $281.84 / $407.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $389.05 / $602.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $229.09 / $501.19