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North Dakota 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
$730.21 / $730.21 / $730.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.78 / $249.39 / $866.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.45 / $340.82 / $6,299.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.51 / $323.77 / $413.17