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Massachusetts 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
$58.62 / $58.62 / $58.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.41 / $88.03 / $257.73
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.52 / $2,613.82 / $2,613.82
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.95 / $125.23 / $463.54
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.07 / $111.07 / $130.66
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.52 / $2,613.82 / $2,613.82
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.95 / $125.23 / $463.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.95 / $111.54 / $250.19