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Minnesota rates for HCPCS 0638T

Computed tomography, breast, including 3D rendering, when performed, bilateral; without contrast, followed by contrast material(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.95 / $203.95 / $758.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.13 / $203.95 / $275.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$475.67 / $857.73 / $1,555.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.48 / $475.67 / $475.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.70 / $223.70 / $223.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.48 / $485.56 / $935.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.85 / $375.12 / $786.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.18 / $677.12 / $1,293.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.29 / $635.61 / $1,165.36