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Hawaii rates for HCPCS 0637T

Computed tomography, breast, including 3D rendering, when performed, bilateral; with contrast material(s)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.00 / $171.00 / $171.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.70 / $223.70 / $223.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$935.47 / $935.47 / $935.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.80 / $344.44 / $644.72