go back

Massachusetts 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
$169.59 / $169.59 / $1,243.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.59 / $195.24 / $268.57
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$534.36 / $818.35 / $2,613.82
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.24 / $339.07 / $1,293.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$367.33 / $575.99 / $969.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.01 / $1,321.15 / $3,187.35
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.80 / $175.73 / $325.33
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.76 / $490.14 / $612.09
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.40 / $2,613.82 / $2,613.82
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.24 / $339.07 / $1,293.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.22 / $309.66 / $567.98