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Iowa 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
$292.19 / $517.97 / $649.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.97 / $517.97 / $517.97
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $150.00 / $150.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.57 / $260.86 / $5,622.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.14 / $296.64 / $6,299.47
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.07 / $260.86 / $1,432.20
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.07 / $260.86 / $1,432.20
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,707.01 / $2,878.19 / $3,053.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.21 / $256.45 / $449.77