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Pennsylvania 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
$159.08 / $247.19 / $565.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.37 / $146.94 / $361.51
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.94 / $247.19 / $580.45
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.37 / $146.94 / $361.51
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,559.22 / $1,886.66 / $3,028.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.81 / $208.04 / $1,199.21