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South Carolina 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
$275.42 / $1,621.81 / $2,041.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $218.78 / $275.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $389.05 / $588.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $346.74 / $524.81
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $275.42 / $416.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $436.52 / $660.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $123.03 / $208.93