go back

West Virginia 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
$56.04 / $56.04 / $56.04
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,430.89 / $6,520.99 / $13,414.62
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119,998.80 / $119,998.80 / $119,998.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,664.88 / $2,664.88 / $2,664.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.57 / $41.33 / $81.33