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