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Virginia 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
$206.50 / $1,626.00 / $3,152.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.00 / $206.50 / $275.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $363.49 / $509.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.70 / $715.10 / $953.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.52 / $400.00 / $935.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.08 / $230.50 / $282.48
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.57 / $321.57 / $591.25
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.98 / $354.00 / $879.48
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.41 / $181.47 / $330.51
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.42 / $241.41 / $391.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.50 / $846.20 / $846.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.06 / $449.11 / $754.60