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Massachusetts 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
$508.48 / $508.48 / $508.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.77 / $214.25 / $661.02
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,011.96 / $6,592.43 / $6,592.43
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.51 / $332.26 / $6,299.47
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,712.14 / $1,712.14 / $2,014.29
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,011.96 / $6,592.43 / $6,592.43
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.51 / $332.26 / $6,299.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.51 / $278.51 / $3,559.54