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Montana 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
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $104.71 / $107.15
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $107.15
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $1.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $97.72 / $112.20