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New York 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
$114.21 / $231.54 / $768.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.90 / $197.90 / $648.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.94 / $306.74 / $521.46
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $74,999.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.51 / $227.85 / $695.81