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Louisiana 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
$302.00 / $562.34 / $1,412.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $218.78 / $302.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $446.68 / $724.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $123.03 / $123.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $239.88 / $346.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $380.19 / $562.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $234.42 / $380.19