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Indiana 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
$48.40 / $79.55 / $104.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.71 / $48.40 / $70.73
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.08 / $88.08 / $169.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.86 / $88.08 / $121.55
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.12 / $691.84 / $1,163.70
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.65 / $54.65 / $78.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.16 / $83.39 / $150.00