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Ohio 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
$195.24 / $798.00 / $1,300.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.53 / $195.24 / $245.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$276.00 / $1,045.00 / $2,137.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.79 / $191.88 / $326.75
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.75 / $2,096.34 / $5,132.33
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.33 / $2,260.31 / $4,664.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.14 / $223.70 / $350.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.00 / $275.00 / $935.47
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.14 / $223.70 / $350.00
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.00 / $275.00 / $935.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $60.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.55 / $116.61 / $211.10