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Ohio rates for HCPCS 0558T

Computed tomography scan taken for the purpose of biomechanical computed tomography analysis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $794.33 / $1,288.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $218.78 / $323.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $47.86 / $223.87
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $3,162.28 / $41,686.94
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $3,630.78 / $6,309.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $87.10 / $354.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $512.86 / $1,071.52
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $346.74 / $1,288.25
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $1,071.52 / $1,071.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $50.12 / $60.26
SummaCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $107.15 / $107.15
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $70.79 / $75.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $173.78 / $213.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $229.09 / $416.87