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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
$300.00 / $538.00 / $1,395.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.13 / $300.00 / $320.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$266.66 / $448.74 / $730.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.27 / $122.27 / $122.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.71 / $233.81 / $380.87