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Washington 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
Professional
Modifier
Low / Median / High Price
$34.59 / $36.19 / $40.11
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,197.56 / $3,171.72 / $5,131.85
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.76 / $80.59 / $5,749.92
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$950.50 / $2,586.21 / $4,789.57
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,560.30 / $1,560.30 / $1,560.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$356.01 / $786.35 / $986.91
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.22 / $41.22 / $49.81
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.81 / $71.84 / $102.17
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,159.44 / $2,827.07 / $5,407.87
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.04 / $66.70 / $2,623.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,701.97 / $3,525.63 / $5,540.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.96 / $59.80 / $105.41
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.69 / $463.69 / $463.69