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Nebraska 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
$33.29 / $33.29 / $33.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.09 / $31.09 / $31.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$401.01 / $543.47 / $1,020.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,841.50 / $1,997.39 / $2,102.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.09 / $52.54 / $5,131.85
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.70 / $63.02 / $5,749.92
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.65 / $67.84 / $4,974.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $51.76 / $4,974.78
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,861.80 / $1,861.80 / $1,861.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,183.20 / $1,236.50 / $1,615.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.70 / $61.08 / $78.04