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Idaho 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
$794.33 / $794.33 / $794.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $208.93 / $275.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $549.54 / $812.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $295.12 / $398.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $645.65 / $776.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $346.74 / $524.81
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $288.40 / $562.34
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $208.93 / $371.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $77.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $602.56 / $812.83
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $309.03 / $380.19
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $398.11 / $630.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $234.42 / $234.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $245.47 / $478.63