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Arkansas 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
$94.45 / $94.45 / $94.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.45 / $113.34 / $835.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.08 / $198.07 / $404.17