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Nebraska 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
$186.90 / $375.00 / $443.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.90 / $186.90 / $192.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$726.17 / $984.14 / $1,847.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.49 / $362.88 / $371.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.77 / $464.49 / $879.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.00 / $554.54 / $1,093.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.19 / $705.79 / $1,293.17
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.31 / $418.93 / $879.81
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.77 / $485.56 / $879.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.19 / $695.51 / $829.80