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Pennsylvania 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
$245.47 / $676.08 / $954.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $208.93 / $302.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $707.95 / $977.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $269.15 / $933.25
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $295.12 / $295.12
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $263.03 / $275.42
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $676.08 / $954.99
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $218.78 / $363.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $933.25 / $1,230.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $380.19 / $616.60