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Missouri rates for HCPCS 0636T

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.63 / $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 / $345.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.70 / $491.98 / $586.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$935.47 / $935.47 / $935.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.10 / $336.49 / $770.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.24 / $280.88 / $1,293.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.08 / $268.58 / $523.29