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Idaho 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
$66.41 / $66.41 / $66.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.22 / $60.53 / $60.53
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.22 / $29.97 / $390.65
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$994.39 / $994.39 / $994.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $3,900.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.27 / $2,587.26 / $3,169.92
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.95 / $1,686.53 / $1,686.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.20 / $46.00 / $62.56