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Missouri 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
$128.26 / $252.02 / $1,474.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.79 / $226.63 / $269.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.80 / $190.70 / $345.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.07 / $223.70 / $263.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.00 / $250.00 / $935.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.49 / $325.00 / $680.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.75 / $132.79 / $1,293.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.97 / $136.18 / $245.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.77 / $126.97 / $239.22