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Kansas 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
$213.67 / $251.82 / $654.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.62 / $167.88 / $251.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.84 / $173.76 / $1,150.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.51 / $236.96 / $6,299.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.51 / $220.00 / $462.39