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Missouri 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
$223.87 / $812.83 / $1,548.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $223.87 / $295.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $186.21 / $309.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $190.55 / $190.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $724.44 / $912.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $251.19 / $933.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $467.74 / $1,202.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $446.68 / $1,288.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $389.05 / $645.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $407.38 / $691.83