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Michigan 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
$31.59 / $47.39 / $63.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.59 / $37.39 / $47.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$888.72 / $888.72 / $888.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$844.28 / $933.16 / $1,199.77
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.59 / $58.44 / $74.63
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.35 / $31.59 / $47.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$692.87 / $1,588.27 / $2,675.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.92 / $39.40 / $92.85