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Alabama 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
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.79 / $127.79 / $127.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.79 / $156.47 / $156.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,131.73 / $1,373.40 / $1,847.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.46 / $172.29 / $277.24