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Tennessee 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
$35.01 / $38.97 / $59.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.34 / $30.63 / $39.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.41 / $43.30 / $67.26
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,286.41 / $6,017.35 / $6,017.35
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,749.92 / $5,749.92 / $9,483.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.31 / $38.64 / $70.47