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Minnesota 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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.16 / $87.65 / $123.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.95 / $144.63 / $463.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.95 / $140.02 / $259.58