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West Virginia rates for HCPCS 0042T

Cerebral perfusion analysis using computed tomography with contrast administration, including post-processing of parametric maps with determination of cerebral blood flow, cerebral blood volume, and mean transit time

Insurance Carrier
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $141.25 / $169.82
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $154.88 / $234.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $371.54 / $691.83