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Arizona rates for HCPCS 0638T

Computed tomography, breast, including 3D rendering, when performed, bilateral; without contrast, followed by contrast material(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.00 / $990.00 / $1,543.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.00 / $217.07 / $245.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$353.32 / $1,389.87 / $2,311.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$523.03 / $597.75 / $747.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.71 / $223.70 / $952.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.00 / $286.00 / $485.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.00 / $442.14 / $1,093.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.13 / $321.63 / $1,293.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.13 / $319.75 / $682.92