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Maine rates for HCPCS 0624T

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.98 / $59.98 / $71.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.85 / $31.05 / $53.14
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.98 / $59.98 / $59.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.44 / $83.61 / $131.88