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Maine 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
Professional
Modifier
Low / Median / High Price
$31.90 / $31.90 / $37.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.85 / $31.05 / $40.54
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.90 / $31.90 / $31.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.20 / $49.07 / $2,311.03