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Michigan rates for HCPCS 0637T

Computed tomography, breast, including 3D rendering, when performed, bilateral; with contrast material(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $245.47 / $436.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $208.93 / $275.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $331.13 / $338.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $338.84 / $354.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $309.03 / $309.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $251.19 / $933.25
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $245.47 / $245.47
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $229.09 / $302.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $309.03 / $309.03
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $251.19 / $933.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $354.81 / $912.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $380.19 / $562.34