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Oregon 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
$371.54 / $371.54 / $371.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $218.78 / $309.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $426.58 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $933.25 / $933.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $436.52 / $537.03
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $371.54 / $645.65
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $223.87 / $371.54
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $331.13 / $398.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $416.87 / $676.08
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $407.38 / $933.25
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,258.93 / $1,584.89
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $426.58 / $537.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,318.26 / $1,737.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $446.68 / $1,047.13