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Arizona rates for HCPCS 0626T

Automated quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, using data from coronary computed tomographic angiography; review of computerized analysis output to reconcile discordant data, interpretation and report

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.43 / $158.22 / $598.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.65 / $89.38 / $122.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.26 / $52.87 / $66.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.20 / $105.18 / $2,489.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.12 / $88.18 / $463.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.95 / $79.92 / $144.72