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Tennessee 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
$181.56 / $202.14 / $309.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.04 / $158.87 / $204.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.47 / $222.94 / $349.10
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,505.02 / $6,592.43 / $6,592.43
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,299.47 / $6,299.47 / $10,389.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.22 / $209.73 / $383.26