go back

Idaho rates for HCPCS 0637T

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $794.33 / $794.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $208.93 / $275.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $870.96 / $1,288.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $295.12 / $575.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $1,047.13 / $1,230.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $346.74 / $524.81
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $416.87 / $870.96
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $208.93 / $371.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $77.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $954.99 / $1,288.25
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $309.03 / $380.19
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $575.44 / $912.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $371.54 / $371.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $389.05 / $776.25