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Michigan 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
$245.75 / $245.75 / $950.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.00 / $245.75 / $245.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.01 / $226.01 / $226.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.16 / $235.05 / $291.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.70 / $223.70 / $223.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.75 / $413.75 / $935.47
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.75 / $245.75 / $950.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.24 / $245.75 / $368.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.33 / $234.50 / $352.49