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South Carolina 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
$275.42 / $1,621.81 / $2,041.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $218.78 / $275.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $416.87 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $346.74 / $524.81
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $354.81 / $616.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $1,479.11 / $2,238.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $416.87 / $707.95