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Texas 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
$436.52 / $851.14 / $2,041.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $218.78 / $316.23
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $79.43 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $275.42 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $234.42 / $363.08
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $2,630.27 / $2,630.27
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,698.24 / $1,698.24
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $380.19 / $831.76
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $223.87 / $416.87
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $380.19 / $691.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $234.42 / $363.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $549.54 / $724.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $380.19 / $645.65
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $194.98 / $229.09