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California 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
$228.72 / $822.13 / $1,472.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.75 / $174.02 / $453.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.00 / $486.00 / $876.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.78 / $276.07 / $2,238.83
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.97 / $967.10 / $2,431.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.74 / $503.03 / $841.52
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,505.02 / $6,592.43 / $6,592.43
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,299.47 / $6,299.47 / $10,389.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $85.00 / $85.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$442.32 / $593.29 / $965.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.08 / $442.32 / $738.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.66 / $600.66 / $600.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.62 / $203.44 / $521.57