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Indiana 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
$645.65 / $851.14 / $1,659.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $208.93 / $275.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $512.86 / $977.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $512.86 / $794.33
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $1,905.46 / $4,365.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $131.83 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $346.74 / $676.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $302.00 / $446.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $380.19 / $660.69