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Utah rates for HCPCS 0633T

Ct Breast W/3d Rendering Uni Without Contrast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.07 / $1,264.00 / $2,809.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.48 / $217.07 / $240.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$390.00 / $519.00 / $596.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $45.00 / $60.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.70 / $211.60 / $303.77
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.82 / $229.80 / $281.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.44 / $111.10 / $184.71