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Nebraska 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
$186.21 / $186.21 / $186.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $204.17 / $275.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $954.99 / $1,862.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $354.81 / $371.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $446.68 / $870.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $524.81 / $2,511.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $616.60 / $1,288.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $616.60 / $870.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $467.74 / $870.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $371.54 / $933.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $616.60 / $851.14