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Oklahoma 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
$275.00 / $500.00 / $2,100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.00 / $211.49 / $255.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.80 / $141.80 / $141.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.00 / $225.00 / $378.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$227.66 / $255.08 / $2,489.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.24 / $182.38 / $1,293.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.47 / $302.63 / $338.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.24 / $182.38 / $273.57