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Idaho 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
$344.62 / $344.62 / $344.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.69 / $314.11 / $314.11
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.97 / $155.61 / $419.00
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,066.55 / $1,066.55 / $1,066.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $3,900.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.87 / $288.87 / $323.57
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.32 / $1,847.72 / $1,847.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.51 / $239.00 / $325.04