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Louisiana 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
$150.66 / $240.45 / $665.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.63 / $150.66 / $460.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.63 / $195.29 / $320.27