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Nationwide rates for HCPCS 0623T

Automated quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, using data from coronary computed tomographic angiography; data preparation and transmission, computerized analysis of data, with review of computerized analysis output to reconcile discordant data, interpretation and report

Insurance Carrier	Facility/Professional	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.64 / $283.61 / $582.18	Facility	$194.64	$283.61	$582.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.83 / $173.89 / $232.43	Professional	$150.83	$173.89	$232.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $266.00 / $407.50 / $755.48	Facility	$266.00	$407.50	$755.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.78 / $250.41 / $392.73	Professional	$153.78	$250.41	$392.73
United Facility/Professional Facility Modifier Low / Median / High Price $600.66 / $600.66 / $600.66	Facility	$600.66	$600.66	$600.66
United Facility/Professional Professional Modifier Low / Median / High Price $167.30 / $227.85 / $442.84	Professional	$167.30	$227.85	$442.84

Nationwide rates for HCPCS 0623T

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