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Nebraska 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
Facility
Modifier
Low / Median / High Price
$57.74 / $57.74 / $57.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.90 / $53.90 / $53.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$401.01 / $543.47 / $1,020.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.18 / $62.20 / $63.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.90 / $89.69 / $2,489.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.63 / $114.82 / $372.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.28 / $114.64 / $150.77
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.28 / $98.41 / $150.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.59 / $118.48 / $142.19