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Indiana rates for HCPCS 0636T

Ct Breast W/3d Rendering Bi Without Contrast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.57 / $701.13 / $2,040.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.36 / $203.12 / $245.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$394.00 / $839.50 / $2,256.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.78 / $298.48 / $411.90
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.53 / $2,013.84 / $4,875.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.27 / $174.60 / $700.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.77 / $393.99 / $393.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.77 / $235.54 / $422.68