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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
$205.87 / $205.87 / $346.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.38 / $203.95 / $243.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.70 / $223.70 / $223.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.49 / $464.49 / $935.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.81 / $336.77 / $372.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.24 / $446.10 / $1,293.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.99 / $424.62 / $593.57