go back

Pennsylvania 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
$229.38 / $270.00 / $957.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.36 / $209.09 / $245.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.83 / $477.13 / $740.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.99 / $935.47 / $935.47
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.27 / $290.27 / $290.27
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.38 / $419.77 / $957.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.53 / $209.19 / $275.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.89 / $265.89 / $265.89
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.83 / $537.29 / $740.67
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$935.47 / $935.47 / $935.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.57 / $251.32 / $435.60