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Missouri 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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $43.65 / $2,290.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $50.12 / $5,754.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $707.95 / $758.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $42.66 / $75.86