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North Dakota 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
$204.17 / $204.17 / $354.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $204.17 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $467.74 / $933.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $331.13 / $407.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $426.58 / $1,288.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $346.74 / $524.81