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Maryland 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
$73.01 / $73.01 / $73.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.01 / $100.75 / $100.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.64 / $71.67 / $129.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.84 / $87.08 / $153.90