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Oklahoma 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
$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
$125.83 / $125.83 / $125.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.68 / $281.49 / $2,489.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.73 / $234.99 / $1,293.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.73 / $234.99 / $352.49