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Kentucky rates for HCPCS 0721T

Quantitative computed tomography (CT) tissue characterization, including interpretation and report, obtained without concurrent CT examination of any structure contained in previously acquired diagnostic imaging

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$337.00 / $485.00 / $873.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.86 / $423.88 / $464.71
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,249.87 / $55,999.44 / $83,999.16
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68,249.33 / $89,999.10 / $104,998.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00