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Alaska rates for HCPCS 0625T

Automated quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, using data from coronary computed tomographic angiography; computerized analysis of data from coronary computed tomographic angiography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.00 / $126.67 / $232.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.19 / $36.19 / $143.31
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.75 / $410.86 / $1,140.77
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.75 / $147.15 / $4,915.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$422.81 / $422.81 / $507.37
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.20 / $136.50 / $206.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.60 / $78.88 / $128.18