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New York 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
$174.23 / $976.00 / $1,254.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.00 / $219.17 / $275.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.06 / $327.14 / $557.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.70 / $467.18 / $550.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.00 / $935.47 / $2,095.09
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.27 / $290.27 / $290.27
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.87 / $330.15 / $420.88
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.70 / $545.05 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.22 / $373.61 / $845.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.91 / $259.11 / $597.04
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.87 / $190.87 / $190.87
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.87 / $194.55 / $420.88