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Oklahoma 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
$251.19 / $501.19 / $1,148.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $223.87 / $275.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $134.90 / $134.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $223.87 / $380.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $269.15 / $2,511.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $181.97 / $1,288.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $169.82 / $426.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $181.97 / $269.15