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Rhode Island 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	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,162.38 / $1,411.72 / $1,689.35	Facility		$1,162.38	$1,411.72	$1,689.35
United Facility/Professional Professional Modifier Low / Median / High Price $2,820.35 / $2,820.35 / $2,820.35	Professional		$2,820.35	$2,820.35	$2,820.35