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Minnesota 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
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,655.07 / $2,015.55 / $6,213.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.37 / $414.01 / $1,052.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.51 / $338.12 / $6,299.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.51 / $326.91 / $604.37