| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $732.35 | $732.35 | $732.35 | |
Providence
| Professional | $738.12 | $738.12 | $738.12 | |
United
| Professional | $229.44 | $277.24 | $315.47 |
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 |
|---|---|---|---|---|---|
Providence
| Facility | $732.35 | $732.35 | $732.35 | |
Providence
| Professional | $738.12 | $738.12 | $738.12 | |
United
| Professional | $229.44 | $277.24 | $315.47 |