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Ohio rates for HCPCS 0042T

Cerebral perfusion analysis using computed tomography with contrast administration, including post-processing of parametric maps with determination of cerebral blood flow, cerebral blood volume, and mean transit time

Insurance Carrier
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $213.80 / $371.54
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $72.44 / $72.44
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $134.90 / $173.78
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $123.03 / $223.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $102.33 / $123.03
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $2,290.87 / $2,290.87
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $309.03 / $309.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $50.12 / $60.26
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $138.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $371.54 / $371.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $389.05 / $676.08