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Maryland 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
$30.89 / $30.89 / $30.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.89 / $42.63 / $42.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.48 / $504.78 / $688.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.61 / $37.79 / $68.36