go back

Utah rates for HCPCS 0625T

Auto Quan&Charac Coronary Plaq Computerized Alys

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.22 / $28.22 / $35.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $45.00 / $60.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,216.64 / $1,920.01 / $2,756.45
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.40 / $44.27 / $1,298.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.36 / $36.79 / $66.23