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Pennsylvania 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
$30.36 / $47.17 / $107.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.35 / $28.03 / $69.54
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,143.13 / $2,143.13 / $2,143.13
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.03 / $47.17 / $110.72
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.35 / $28.03 / $69.54
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$972.65 / $1,176.91 / $1,889.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,311.12 / $2,483.66 / $3,229.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.53 / $40.86 / $82.27