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Mississippi 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
$331.13 / $616.60 / $891.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $239.88 / $323.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $691.83 / $758.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $112.20 / $112.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $346.74 / $380.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $288.40 / $426.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $42.66 / $67.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $323.59 / $354.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $186.21 / $309.03