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Missouri 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
$216.41 / $498.00 / $1,474.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.79 / $226.63 / $269.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.80 / $190.70 / $388.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.70 / $362.33 / $439.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.00 / $250.00 / $935.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.49 / $325.00 / $680.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.26 / $217.99 / $1,293.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.97 / $155.93 / $302.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.14 / $209.26 / $409.10