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New Hampshire 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
$33.04 / $33.04 / $571.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.45 / $40.54 / $57.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.20 / $52.73 / $102.95
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,750.00 / $3,500.00