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Indiana 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
$196.57 / $846.20 / $2,040.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.36 / $203.12 / $245.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$466.43 / $929.00 / $2,256.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.76 / $583.83 / $805.68
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.53 / $2,269.08 / $4,875.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.80 / $223.70 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.00 / $485.56 / $770.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.75 / $393.02 / $677.12