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South Dakota 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 / $203.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.85 / $181.85 / $203.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.23 / $320.42 / $383.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.20 / $337.00 / $1,293.17
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.24 / $258.89 / $373.77
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.42 / $258.89 / $373.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.56 / $327.89 / $364.32