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Minnesota rates for HCPCS 0633T

Computed tomography, breast, including 3D rendering, when performed, unilateral; without contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $204.17 / $741.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $213.80 / $295.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $309.03 / $758.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $309.03 / $309.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $309.03 / $309.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $933.25 / $933.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $269.15 / $371.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $177.83 / $1,288.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $269.15 / $363.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $186.21 / $346.74