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North Carolina 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
$194.98 / $1,023.29 / $1,698.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $208.93 / $275.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $467.74 / $467.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $309.03 / $446.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $346.74 / $933.25
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $275.42 / $426.58
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $213.80 / $213.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $257.04 / $338.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $269.15 / $537.03
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $1,288.25 / $2,630.27
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,698.24 / $1,698.24