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New Mexico 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
$68.94 / $68.94 / $68.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.15 / $55.15 / $55.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,799.99 / $68,899.99 / $81,099.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.75 / $60.00 / $1,000.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.50 / $259.50 / $259.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.44 / $91.69 / $136.66