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New Hampshire rates for HCPCS 0636T

Computed tomography, breast, including 3D rendering, when performed, bilateral; without contrast material(s)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.59 / $194.35 / $225.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.58 / $303.58 / $505.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,454.79 / $1,454.79 / $2,588.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.18 / $394.86 / $731.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.22 / $305.49 / $637.11
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,750.00 / $3,500.00