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Oklahoma 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
$275.00 / $500.00 / $2,100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.00 / $211.49 / $255.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.08 / $260.47 / $377.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.83 / $125.83 / $125.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.00 / $225.00 / $378.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.04 / $255.08 / $2,489.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.96 / $111.10 / $1,293.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.96 / $111.10 / $166.65