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South Dakota 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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.84 / $57.34 / $1,888.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.36 / $68.88 / $5,749.92
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.70 / $51.76 / $1,307.24
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $44.70 / $67.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.72 / $68.88 / $1,692.68