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Louisiana 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
$68.05 / $108.61 / $300.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.69 / $68.05 / $208.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.26 / $88.45 / $140.63