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North Carolina 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
$81.20 / $81.20 / $81.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.15 / $29.17 / $29.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.91 / $109.86 / $1,541.10
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.51 / $28.97 / $68.17
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.97 / $109.08 / $1,565.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,346.02 / $1,759.37 / $1,904.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.92 / $42.98 / $102.72
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$976.37 / $6,017.35 / $6,017.35
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,749.92 / $9,483.75 / $9,483.75