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Wisconsin 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

Facilitymedian $39 · 10th–90th $1–$2,6300%10%10th90th$39Professionalmedian $117 · 10th–90th $63–$3720%10%10th90th$117$1.0$5.0$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.74 / $1.15 / $56.23
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.79 / $41.69 / $87.10
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $112.20 / $371.54
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $64.57 / $70.79
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.23 / $2,630.27 / $2,630.27
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $371.54 / $371.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $64.57
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $102.33 / $204.17