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Minnesota 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
$204.17 / $204.17 / $741.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $213.80 / $295.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $478.63 / $1,258.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $371.54 / $371.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $309.03 / $309.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $933.25 / $933.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $269.15 / $416.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $288.40 / $1,288.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $457.09 / $616.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $257.04 / $512.86