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South Dakota 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
$203.95 / $203.95 / $203.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.85 / $181.85 / $203.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.03 / $578.83 / $690.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.09 / $695.51 / $1,293.17
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.23 / $452.94 / $618.30
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.77 / $485.56 / $618.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.19 / $665.61 / $751.90