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Oklahoma 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
$24.75 / $27.23 / $37.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.75 / $24.75 / $24.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.75 / $25.99 / $5,131.85
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.88 / $39.56 / $5,749.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.02 / $1,502.99 / $2,377.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.46 / $34.86 / $63.08