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North Carolina 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
$195.34 / $516.00 / $1,668.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.34 / $195.34 / $275.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.70 / $223.70 / $707.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.00 / $935.47 / $935.47
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.57 / $190.57 / $438.31
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $258.00 / $701.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.06 / $516.61 / $969.64
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.40 / $1,093.20 / $1,093.20
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,293.17 / $1,679.48 / $1,679.48