go back

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
$616.60 / $1,096.48 / $1,698.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $213.80 / $295.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $1,148.15 / $1,698.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $676.08 / $1,202.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $218.78 / $954.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $288.40 / $489.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $446.68 / $1,096.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $346.74 / $1,288.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $338.84 / $446.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $316.23 / $588.84