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South Carolina 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
$275.42 / $1,621.81 / $2,041.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $218.78 / $275.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $416.87 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $346.74 / $524.81
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $275.42 / $416.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $741.31 / $1,122.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $199.53 / $338.84