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Kentucky 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
$24.05 / $5,840.45 / $5,840.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.05 / $43.05 / $43.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.39 / $76.93 / $138.84
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$541.95 / $7,838.98 / $47,249.53
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.95 / $6,959.27 / $12,193.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.63 / $39.20 / $57.25