go back

Maryland 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
$203.46 / $203.46 / $203.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.55 / $223.25 / $275.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.38 / $137.38 / $137.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.31 / $238.84 / $311.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.71 / $234.99 / $429.43