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Mississippi 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
$126.52 / $132.85 / $189.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.52 / $126.52 / $368.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.25 / $50.00 / $80.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.65 / $188.65 / $444.18