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New Hampshire 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
Professional
Modifier
Low / Median / High Price
$169.59 / $194.35 / $225.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.49 / $431.84 / $726.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,149.39 / $2,149.39 / $3,824.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.00 / $600.00 / $600.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.18 / $394.86 / $731.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.41 / $484.91 / $855.05
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,750.00 / $3,500.00