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Iowa rates for HCPCS 0634T

Computed tomography, breast, including 3D rendering, when performed, unilateral; with contrast material(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $190.55 / $190.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $218.78 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $229.09 / $323.59
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $151.36 / $151.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $338.84 / $2,511.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $234.42 / $1,288.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $229.09 / $323.59
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $229.09 / $229.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $407.38 / $537.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $213.80 / $426.58