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Minnesota rates for HCPCS 0635T

Computed tomography, breast, including 3D rendering, when performed, unilateral; without contrast, followed by contrast material(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.95 / $203.95 / $758.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.13 / $203.95 / $275.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.30 / $432.41 / $743.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.87 / $432.41 / $432.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.70 / $223.70 / $223.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.48 / $375.00 / $935.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.48 / $283.63 / $420.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.38 / $328.28 / $996.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.38 / $313.70 / $591.09