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Oklahoma 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
$251.19 / $501.19 / $1,148.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $223.87 / $275.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $134.90 / $134.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $223.87 / $380.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $467.74 / $2,511.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $380.19 / $1,288.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $346.74 / $851.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $380.19 / $549.54