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Georgia 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
$159.63 / $272.98 / $442.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.46 / $177.20 / $779.73
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.58 / $164.58 / $492.37
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,334.39 / $1,734.71 / $3,069.10
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,493.52 / $2,774.23 / $3,028.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.09 / $241.12 / $1,236.30