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South 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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.01 / $274.73 / $2,068.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.04 / $357.06 / $6,299.47
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.31 / $271.33 / $1,432.20
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.07 / $234.31 / $316.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.04 / $357.06 / $1,854.45